Wall Street Interest in Home Care Grows After Medicare Fix

Home health leaders largely applauded Congress after legislation to replace Medicare’s controversial Sustainable Growth Rate (SGR) was recently signed into law. And already home care industry groups are seeing positive results from the Medicare Access and CHIP Reauthorization Act, or permanent “doc fix,” according to new data. Among Investor’s Business Daily’s 197 industry groups, its Medical-Outpatient/Home Care industry […]

Home Health Fraudster Loses House, Gets 7-Year Sentence

A Massachusetts home nursing agency owner was recently sentenced to 92 months in prison for fraudulently billing millions of dollars of services to Medicare and then laundering the proceeds.  Michael Galatis, 63, of Natick, Mass. was sentenced by the District of Massachusetts to 92 months in prison, three years of supervised release, and ordered to […]

Miami Home Health Fraudster Sentenced to 106 Months in Prison

The owner and operator of a Miami home health care agency was sentenced Monday to 106 months in prison for his participation in a $30 million Medicare fraud scheme, according to FBI reports. Ramon Regueira, 66, of Miami, pleaded guilty to one count of conspiracy to commit health care fraud on Nov. 13, 2014, according […]

CMS Proposes New Rule To Drive ACO Participation

The Centers for Medicare & Medicaid Services (CMS) proposed a new rule Monday that aims to boost Accountable Care Organization (ACO) success by improving incentives to participate.  The changes would update and improve policies governing the Medicare Shared Savings Program (Shared Savings Program) by targeting several program areas including beneficiary assignment, data sharing, available risk models, […]

3 Threats Facing the Home Health Care Industry

As the elderly population grows in the coming years, so too will the home care industry — but not without facing significant threats, industry experts say. The baby boom population will push the demand for home health care, with more than 10,000 boomers turning 65 every day. In addition to the sheer demographics, home health […]

President Obama Signs Law To Bring Oversight to Hospices

President Obama signed into law a bill to create greater oversight within the hospice community. The Improving Medicare Post-Acute Care Transformation Act, or IMPACT Act (H.R. 4994), received support from both Democrats and Republicans, and received praise from multiple health care and senior living organizations. The IMPACT Act also requires more frequent surveys of hospice […]

CMS: ACOs Yield $372M Medicare Savings, Better Patient Care

As Accountable Care Organizations (ACOs) continue to emerge in the home health care sector, the The Centers for Medicare & Medicaid Services (CMS) released quality and financial performance results Tuesday that show Medicare ACOs are having a positive impact. ACOs in the Pioneer ACO Model and Medicare Shared Savings Program generated over $372 million in […]

Half Of Older Americans Have Care Needs, Majority Receive Informal Help

Nearly one-half of older Americans, or 18 million people, had difficulty or received help in the last month with daily activities, according to a recent study published in The Milbank Quarterly. “The older population—especially those with few economic resources—has substantial late-life care needs,” the study says. “Policies to improve long-term services and supports and reduce unmet need […]