Sheppard Health Law

FEBRUARY 3, 2023

New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R. Part 521 governing the implementation and operation of effective compliance programs for certain “required providers,” including, now for the first time, Medicaid managed care organizations (MMCOs). [1]

Medicaid 52

Medicaid Regulations Prevention Accountability 52

Home Health Care

MAY 4, 2023

Centers for Medicare & Medicaid Services’ (CMS) latest proposed rule , which includes a provision that would require at least 80% of Medicaid payments to go toward compensation for personal care workers. The heightened attention on personal care services leads to necessary sophistication, oversight and regulation.

Medicaid 76

Medicaid Regulations Accountability Medicare 76

NASHP

NOVEMBER 17, 2023

The National Academies of Sciences, Engineering, and Medicine (NASEM) published a critical report during the pandemic , finding that “the way the United States finances, delivers, and regulates care in nursing home settings is ineffective, inefficient, fragmented, and unsustainable.”

Nursing 104

Nursing Medicaid Accountability Home Care 104

Home Health Care

NOVEMBER 7, 2023

Centers for Medicare & Medicaid Services (CMS) has stated its objective to enroll all of its Medicare beneficiaries in accountable care relationships by 2030. Amid the pandemic, the company approached CMS about expanding at-home care services, for instance. “We Currently, roughly 13.2

Medicare 97

Medicare Accountable Care Home Care Accountability 97

Healthcare It News

AUGUST 29, 2022

Employees using Galileo avoid more expensive visits to in-person specialty, urgent or ER care 80% of the time. More than 85% of patients report improved health after receiving care from Galileo. From there, we established partnerships with both regional and national health plans to offer virtual-first care to their members.

Telemedicine 251

Telemedicine Primary Care Medicaid Urgent Care 251

Home Health Care

FEBRUARY 8, 2024

This article is a part of your HHCN+ Membership Home-based care providers avoiding the shift to value-based care are running out of time and excuses. Home health providers are already under the Home Health Value-Based Purchasing (HHVBP) Model, which is, by definition, a value-based care model.

Medicare 116

Medicare Accountable Care Accountability Primary Care 116

NASHP

OCTOBER 22, 2021

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Comprehensive care coordination. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms.

Medicaid 100

Medicaid Hospice Care Integration Regulations 100

NASHP

MAY 26, 2023

Respite care is a service typically delivered in the home or a facility-based setting that provides short-term relief for caregivers. It is one of the most desired caregiver services , and Medicaid is one policy lever to fund it. nursing home) to receive long-term care services in their home and community.

Medicaid 119

Medicaid Nursing Regulations Integration 119

Home Health Care

JULY 15, 2022

This article is sponsored by Integrated Home Care Services. In this Voices interview, Home Health Care News sits down with Integrated Home Care Services (IHCS) co-founder Paul Pino to learn the top challenges in the home-based care space, and how the IHCS model addresses those challenge s.

Home Care 52

Home Care Integration Medicare Accountability 52

Home Health Care

AUGUST 23, 2023

Centers for Medicare & Medicaid Services (CMS) decides to do with its home health final payment rule , industry experts believe providers need to drastically improve their cost reporting data. Over the years, Maxim said she has seen providers cutting corners firsthand when hiring accountants to put together cost reports.

Law Firms 90

Law Firms Medicaid Hospice Care Regulations 90

NASHP

JANUARY 12, 2024

Direct care workers — such as personal care and home care aides as well as certified nursing assistants — provide care services to individuals and older adults with complex needs. In 2024, people with Medicare and Medicaid coverage (i.e.,

Medicaid 62

Medicaid Nursing Accountability Integration 62

Sheppard Health Law

FEBRUARY 27, 2023

On February 15, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule that would require nursing homes enrolled in Medicare and Medicaid to disclose new information about their ownership and management structures. Finally, CMS proposed a number of other definitions (e.g.,

Nursing 52

Nursing Medicaid Medicare Regulations 52

Home Health Care

JUNE 17, 2022

Centers for Medicare & Medicaid Services (CMS) released its FY 2023 home health proposed payment rule late Friday. Dombi, the president of the National Association for Home Care & Hospice (NAHC), wrote in a comment shared with Home Health Care News.

Accountability 110

Accountability Medicaid Home Care Medicare 110

Sheppard Health Law

NOVEMBER 2, 2023

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 trillion spent on personal health care. [3] This represents 13.2%

Medicaid 52

Medicaid Medicare Accountability Nursing 52

Home Health Care

AUGUST 1, 2022

The home health industry at large is excited about the prospects of the Choose Home Care Act of 2021. It’s also – to some extent – been cast aside in home health providers’ minds, given all the mayhem going on related to the Centers for Medicare & Medicaid Services’ (CMS) proposed rule for 2023. . “If

Home Care 94

Home Care Hospitals Regulations Accountability 94

Home Health Care

JANUARY 26, 2022

Patrick Blair, formerly of Bayada Home Health Care, has been named president and CEO by InnovAge’s board of directors. The appointment comes after reports that Colorado’s Department of Health Care Policy and Financing and the U.S. Centers for Medicare and Medicaid Services (CMS) stopped reimbursing InnovAge for new clients.

Regulations 95

Regulations Care Transition Medicaid Medicare 95

Home Health Care

MARCH 30, 2023

Personal home care provider and advocate voices did so with an excitement for the future, fresh off the high of the president mentioning multiple times in a month. Dombi Bill Dombi said afterward in a statement shared with Home Health Care News.

Medicare 110

Medicare Accountability Hospitals Home Care 110

Home Health Care

OCTOBER 31, 2022

Centers for Medicare & Medicaid Services (CMS) released its FY 2023 home health final payment rule late Monday. It comes with an estimated increase to 2023 home health payments of 0.7%, or $125 million, compared to 2022 aggregate payments.

Medicare 132

Medicare Medicaid Home Care Accountability 132

NASHP

DECEMBER 10, 2021

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs ACO Accountable Care Organizations. CBCM Community Based Care Management Program. MHP Medicaid Health Plans.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

Briggs Healthcare

NOVEMBER 15, 2023

Earlier this year, CMS and HHS also proposed a rule in September to establish national minimum staffing standards for nursing homes to enhance the quality and safety of care. HHS continues to take action to improve the safety, quality, and accountability of nursing homes,” said HHS Secretary Xavier Becerra.

Nursing 40

Nursing Quality of Care Accountability Medicare 40

Briggs Healthcare

AUGUST 29, 2023

This comprehensive report (478 pages) summarizes results from the Nursing Home Staffing Study activities between May and December of 2022 and presents options for minimum nurse staffing requirements for consideration by the Centers for Medicare & Medicaid Services. Below are key findings from the Staffing Study.

Nursing 52

Nursing Medicaid Medicare Accountability 52

NASHP

MARCH 28, 2022

State Medicaid-funded long-term services and supports (LTSS) systems are not well-positioned to compete for this shrinking pool of workers. The COVID-19 pandemic has worsened these burdens, with the increased shortage of workers underscoring the critical role direct care workers play for the people they serve, as well as family caregivers.

Nursing 98

Nursing Medicaid Home Care Rehabilitation 98

Home Health Care

JUNE 15, 2022

Centers for Medicare & Medicaid Services (CMS) uses. While EvergreenHealth Home Care found success under HHVBP compared to state peers, increasing its star ratings and overall quality amid the demo, it didn’t see significant upside adjustments. “We They’re going to continue to play this game,” Lee said.

Home Care 105

Home Care Medicare Accountability Medicaid 105

NASHP

MARCH 22, 2024

States such as Texas, Wyoming , and New Jersey are adopting Medicaid reimbursement of collaborative care services and are addressing capacity to transition to CoCM. People with COD are significantly more likely to be arrested , with a disproportionate impact on women and Black adults. An action plan dashboard tracks targets.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Briggs Healthcare

NOVEMBER 1, 2022

CMS has also finalized updates to regulatory text to consolidate statutory references to data submission and to codify in regulations the HH QRP measure removal factors previously finalized via rulemaking. The HH PPS Final Rule (232 pages) is available at [link].

Medicare 52

Medicare Medicaid Regulations Accountability 52

Briggs Healthcare

AUGUST 22, 2022

In February 2022, President Biden announced a comprehensive set of reforms to improve the safety and quality of nursing home care, hold nursing homes accountable for the care they provide, and make the quality of care and facility ownership more transparent so that potential residents and their loved ones can make informed care choices. [1]

Nursing 75

Nursing Medicaid Quality of Care Medicare 75

Home Health Care

OCTOBER 17, 2021

In order to be a PACE participant, an individual generally has to be over the age of 55 while being dually eligible for Medicare and Medicaid. An alternative for nursing-home eligible patients, PACE is normally run out of communities, using a group of different providers to provide holistic care for participants. “I

Medicaid 131

Medicaid Nursing Medicare Regulations 131

Home Health Care

OCTOBER 11, 2021

Home Health Care News: Brad, what career experiences do you most draw from in your role today as COO of Careficient? Brad Caldwell: I have been in the home care and hospice space since I was a 22-year-old telehealth sales rep. A few years ago, you would see a company that was 100% Medicare home care only.

Home Care 98

Home Care Accountability Regulations Medicaid 98

NASHP

NOVEMBER 29, 2021

Medicaid Reimbursement. Medicaid Reimbursement. Alabama does not reimburse for CHW services through its Medicaid program. Alaska Medicaid reimburses for CHW services through MCOs as authorized under the state plan. Arizona does not currently reimburse for CHW services through its Medicaid program.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

Home Health Care

FEBRUARY 28, 2023

But as a service line, home health care only makes up about 5% of Addus’ revenue. It accounted for about $13 million in revenue in the fourth quarter. Addus’ interest in home health care, however, isn’t just about growth in a vacuum. “We

Accountability 94

Accountability Medicaid Medicare Regulations 94