SNF Prediction Tool Could Keep Home Health Diversions High

A risk tool that makes it possible to accurately predict which hospital patients will end up being discharged to a skilled nursing facility (SNF) could lead to more care being shifted into the home. That’s according to a recent study published in the June issue of JAMDA. Conducted by researchers from Massachusetts General Hospital, Harvard […]

OIG: Nonprofit Hospital Can Offer Free In-Home Services Despite Anti-Kickback Rules

A hospital can provide free home care to reduce readmissions, despite a federal ban on giving patients freebies that could influence their care decisions. That’s according to a recent advisory opinion from the U.S. Department of Health and Human Services’ (HHS) Office of the Inspector General (OIG). OIG’s advisory opinion comes in response to a […]

MedPAC Calls for Up to $2 Billion in Home Health Cuts for 2020

The Medicare Payment Advisory Commission (MedPAC) is once again calling for steep cuts to the Medicare base payment rate for home health agencies. MedPAC’s recommendation comes despite the U.S. health care system’s steady march into the home and the fact more care is being delivered in residential settings. Specifically, MedPAC officials are recommending that Congress […]

Vermont Home Health Agencies Face Big Financial Hit Under Proposed Medicare Changes

Seven of Vermont’s 10 home health and hospice agencies will lose significant funding as a result of recent changes to Medicare’s rural add-on payments. In 2018, rural home health agencies across the country received a 3% rural add-on payment increase. The payment bumps, which providers have been receiving for several years, help in dealing with […]

White House Budget Calls for Home Health Payment Cuts

The White House on Monday released its proposed 2019 federal budget, which calls for the home health groupings model (HHGM) to be implemented along with a unified post-acute payment system, and allocates more money to crack down on home health fraud. The budget document provides insight into what policies President Donald Trump’s administration would like […]

Home Health Leaders: MedPAC’s Call For Cuts Will Kill Medicare Benefits

Home health care leaders are again vying for Medicare beneficiaries and industry workers, following suggestions that the Centers for Medicare and Medicaid Services (CMS) further cut funding and keep the “burdensome” face-to-face narrative requirement. The Partnership for Quality Home Healthcare expressed disappointment in the Medicare Payment Advisory Commission’s (MedPAC) letter to CMS, which called for […]

Targeted Fraud Crusade Aims to Shield Against Home Health Co-Pays

Following a landmark anti-fraud crusade spearheaded by the U.S. Department of Justice that turned up $223 million worth of Medicare fraud across eight cities, the need to protect federal programs from aberrant billing has become a hot topic of discussion among home care agencies. One way the federal government is trying to control such abusive […]