InnovAge President Maureen Hewitt: PACE Model Uniquely Positioned to Respond to Coronavirus Crisis

In one of the latest sets of COVID-19 directions for Medicare providers, the U.S. Centers for Medicare & Medicaid Services (CMS) unveiled updated guidelines for all Programs of All-Inclusive Care for the Elderly (PACE) organizations on Tuesday. Broadly, CMS’s guidelines cover standard procedures for infection control and prevention for COVID-19, also known as the coronavirus. […]

Physical Therapy Proven to Pay Off for Home Health Dementia Patients

Physical therapy (PT) has the ability to improve activities of daily living (ADLs) and functional ability for Medicare home health beneficiaries with dementia, a recent study published by the Journal of the American Geriatrics Society has found. The findings stand as a reminder of the value of PT services, despite ongoing changes under the Patient-Driven […]

CMS Administrator Seema Verma: Home Health Compare Overhaul Is on Its Way

The Centers for Medicare & Medicaid Services (CMS) announced Thursday that users of Home Health Compare — its consumer-facing database of home health provider quality information — can expect to see a major revamp. CMS plans to roll Home Health Compare and seven other Compare sites into one tool called “Medicare Care Compare” sometime this […]

Illinois Reaches ‘Historic’ Wage Increase Agreement with Home Care Workers

In what is being called a historic step forward on the wage and labor front, the state of Illinois recently reached two contract agreements with SEIU Healthcare Illinois — covering 30,000 home care workers. “After years of instability, I’m proud these contracts deliver good wages and good benefits to the people who offer this critical […]

HCAOA Names Home Helpers CEO as Board President; CMS Chief Medical Officer Leaves for Humana

HCAOA elects new board president The Home Care Association of America (HCAOA) has elected Emma Dickison as the new president of its board of directors. Washington, D.C.-based HCAOA represents nearly 3,000 companies that employ more than 500,000 caregivers. Dickison brings her background as CEO of Home Helpers Home Care — a company she’s been with […]

Lawsuit: ‘Big Sharks’ Keeping ‘Small Fish’ Out of Home Health Market with Certificate of Need Laws

Two Nepalese immigrants who were barred from opening a home health agency due to Kentucky’s certificate of need law are now taking on the state in a lawsuit. Business partners Dipendra Tiwari and Kishor Sapkota had plans to open a home health agency that served the Bhutanese refugee population in the Louisville area. The idea […]

CMS Proposes New Rule Targeting Fiscal Integrity of Medicaid

In September, the owner and operator of an Atlanta-based in-home care provider pleaded guilty to defrauding Medicaid in a $1.2 million scheme. Shortly before that, a Boston-based in-home provider agreed to pay $1.95 million in a settlement to resolve allegations that it submitted Medicaid claims without physician authorization in August. These cases are both part […]

With RAP Phaseout Finalized, Writing Is on the Wall for Small Home Health Agencies

When the Centers for Medicare & Medicaid Services (CMS) released its final payment rule last week, the agency all but guaranteed a wave of home health industry consolidation in 2020. That guarantee comes despite CMS’s move to nearly halve the 8.01% behavioral adjustment included in the Patient-Driven Groupings Model (PDGM). But in addition to reducing […]

Home Health Value-Based Purchasing Model Likely Headed to the Scrap Yard

The Home Health Value-Based Purchasing Model (HHVBPM) is likely headed for the scrap yard in the not-too-distant future. Implemented in 2016, HHVBPM was generally designed to pay home health providers in nine states based on outcomes and the value of services delivered. While many thought HHVBPM was fated for expansion, the initiative appears to be […]