Home Health Care

AUGUST 4, 2023

“As payers and providers grapple with an increase in chronically ill populations, higher costs and tighter reimbursement rates — coupled with an evolving complex regulatory landscape — the quest for an integrated health care experience that combines quality, affordability and interconnected services is paramount.”

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Home Care Medicaid Integration 89

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

FEBRUARY 13, 2022

Like any regulations that home-based care agencies have been subjected to of late, it’s been hard for some providers to adjust and easier for others. Broadly, EVV applies to Medicaid-reimbursed home care providers. Managed care organization (MCO) choice, where MCOs select the vendor and cover most costs. . –

Home Care 91

Home Care Medicaid Regulations Medicare 91

Home Health Care

AUGUST 9, 2023

Conveners rationing home health services is another hurdle that needs to be cleared, according to Jennifer Sheets, a long-time home health executive who serves on the board of directors for both the National Association for Home Care & Hospice (NAHC) and the Research Institute for Home Care.

Home Care 91

Home Care Medicare Medicaid Integration 91

NASHP

JULY 25, 2022

Indiana’s Approach to Supporting Mobile Integrated Health Programs July 25, 2022/ by Jodi Manz. In the wake of the enormous strain caused by the COVID-19 pandemic across the health care system, states are considering opportunities to improve access to care while identifying ways to innovate the delivery of care.

Integration 98

Integration Medicaid Hospitals Prevention 98

Home Health Care

JULY 22, 2023

While Medicare Advantage (MA) has been spotlighted as a potential new source of revenue for home care providers over the last couple of years, long-term care insurance (LTCI) has gone under the radar. Increasingly, home care providers have become bullish on LTCI plans and the untapped opportunities they may offer.

Home Care 78

Home Care Medicaid Medicare Integration 78

Home Health Care

APRIL 25, 2023

The in-home care provider, which specifically serves complex behavioral health patients, has opened up shop in Colorado. This need really exists in every state in the country,” McDonough told Home Health Care News. Colorado has a Medicaid program that supports the type of services we provide.”

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Home Care Medicaid Nursing Medicare 105

Home Health Care

FEBRUARY 23, 2022

Policy and regulations for home care haven’t kept pace with the growing demand for services and the overall increased visibility of the sector. In terms of the type of care seniors prefer, services that allow them to age in place for as long as possible are overwhelmingly popular. Department of Health and Human Services (HHS).

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Home Care Medicare Regulations Medicaid 109

Home Health Care

AUGUST 25, 2022

The Centers for Medicare and Medicaid Services (CMS) has awarded one of its ACO REACH contracts to Upward Health, a multidisciplinary at-home care provider. ACO REACH is a risk-sharing program between companies and the government, standing for Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health.

Home Care 97

Home Care Medicare Medicaid Accountable Care 97

Home Health Care

MARCH 28, 2022

We will continue to protect the integrity of our MassHealth program and ensure compliance with our wage and hour laws.”. Compassionate owner, Francis Kimaru, pleaded guilty to separate criminal charges brought in by the Attorney General’s Medicaid Fraud Division in September 2019. OIG releases Medicaid fraud report.

Medicaid 96

Medicaid Home Care Accountability Integration 96

Home Health Care

DECEMBER 19, 2023

One of the most well-established independent home care companies in the nation is heading into the new year with a new identity – and a much larger overall business. Now, with 2024 in sight, the provider is approaching $400 million in revenue with a diversified payer mix increasingly weighted toward Medicaid.

Home Care 115

Home Care Medicaid Integration Primary Care 115

Home Health Care

FEBRUARY 6, 2022

Home care’s stock has continued to rise, as partners and payers increasingly acknowledge the value of non-medical support. But as home care providers increasingly solidify their role in the larger care continuum, they will need to beef up their sales and marketing efforts in order to truly capitalize on opportunities.

Home Care 86

Home Care Hospice Care Medicaid Medicare 86

Home Health Care

APRIL 3, 2022

For the longest time, home care providers were just trying to gain a foothold in the broader health care sector. Now times have changed, as home care services have proven to be an integral part of the overall system, especially during the public health emergency. Michael Slupecki, CEO of Griswold Home Care.

Home Care 119

Home Care Quality Assurance Integration Hospitals 119

Home Health Care

JANUARY 17, 2022

starting with Choose Home. Potential cost-saving is what is attracting bipartisan support for this legislation,” Bill Dombi, president of the National Association for Home Care & Hospice (NAHC), told Home Health Care News during a recent HHCN+ TALKS episode. How NAHC views the in-home care workforce situation.

Integration 98

Integration Home Care Medicare Medicaid 98

Home Health Care

JANUARY 21, 2022

The article is based on an interview that took place during a live panel discussion with Adrian Schauer, Founder and CEO of AlayaCare; Vicki Hoak, Executive Director of Home Care Association of America; Todd Austin, Chief Operating Officer for Home Care Pulse; and Shiwan Chung, leader of MedTec Healthcare.

Home Care 87

Home Care Medicare Medicaid Nursing 87

Home Health Care

APRIL 23, 2022

One way MA offers cost protections to beneficiaries is through cost-share and premium buy-downs, Allison Rizer, principal and business lead of Medicare-Medicaid integration and LTSS at ATI Advisory, told Home Health Care News. Home care providers can serve as an important partner in these efforts.

Medicare 90

Medicare Home Care Medicaid Integration 90

Home Health Care

APRIL 26, 2024

At the start of the week, the “Ensuring Access to Medicaid Services” rule was finalized. The 80-20 provision is, arguably, the most controversial component of the Medicaid rule. Leaders at organizations like Home Assist Health, the National Association for Home Care & Hospice (NAHC) and Addus HomeCare Corp.

Medicaid 40

Medicaid Home Care Quality of Care Integration 40

NASHP

MAY 26, 2023

With caregivers increasingly asked to perform more intense and complex care , respite care is integral to giving caregivers a much-needed break. Respite care is a service typically delivered in the home or a facility-based setting that provides short-term relief for caregivers.

Medicaid 121

Medicaid Nursing Regulations Integration 121

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 102

Medicaid Hospice Care Integration Regulations 102

Home Health Care

FEBRUARY 1, 2022

Within the home care franchising world, there aren’t too many independent, founder-led organizations left. Caring Senior Service, founded in 1991 by CEO Jeff Salter, is one of the rare exceptions. That’s individuals paying directly out of pocket or by using their long-term care insurance. Staying nimble.

Home Care 66

Home Care Medicaid Prevention Integration 66

Home Health Care

MARCH 14, 2024

Individuals who are dually eligible for both Medicare and Medicaid make up a sizable portion of the overall home-based care population. Too often, though, this dual status comes with frustrating challenges around care plans and coordination. In Medicaid, duals account 30% of spending and 14% of enrollment.

Medicaid 91

Medicaid Medicare Accountability Integration 91

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 105

Nursing Medicaid Accountability Integration 105

Home Health Care

APRIL 18, 2024

This article is a part of your HHCN+ Membership Transaction volume for home health, home care and other in-home care businesses dipped in 2023, with inflation, higher interest rates and global unrest contributing to the downturn. Some are bridging the buyer-seller gap with earnout structures.

Home Care 105

Home Care Medicaid Integration Accountability 105

Home Health Care

DECEMBER 20, 2023

There is great opportunity in market growth, as more and more people are in need of home care services. We will look to grow capacity in the market through workforce solutions, efficiency and unique partnerships of care delivery and coordination, all driving more market growth.

Home Care 99

Home Care Medicare Nursing Integration 99

Home Health Care

APRIL 24, 2024

The InTandem Capital-backed HouseWorks has earned a reputation for being one of the most active buyers in the home-based care space — ballooning it into a $400 million company. HouseWorks delivers in-home care and has meal delivery and laundry businesses. Over the last six years, Care Advantage has closed 21 deals.

Home Care 74

Home Care Medicaid Integration 74

Home Health Care

JUNE 20, 2023

This article is a part of your HHCN+ Membership In the broader at-home care space, Dr. Michael Le is considered an innovator. As the co-founder and former chief medical officer of Landmark Health, he was integral in helping build a company that would eventually catch the eye of UnitedHealth Group’s (NYSE: UNH) Optum.

Home Care 97

Home Care Nursing Hospitals Prevention 97

Home Health Care

MAY 1, 2023

The provider is making moves to build an integrated care model that will demonstrate the ability to care for Medicare-Medicaid dual eligibles, while also embracing value-based care. Joseph, Michigan-based Home Sweet Home In-Home Care. It’s all about integration of care.

Home Care 69

Home Care Medicaid Integration Medicare 69

Home Health Care

SEPTEMBER 29, 2023

Despite these challenges, there are more conversations than ever on the future of palliative care from a public policy perspective, Davis Baird, director of government affairs for hospice at NAHC, said during the webinar. I think organizations define themselves by if they’re trying to be a consultative model,” she said.

Home Care 100

Home Care Medicaid Primary Care Medicare 100

Home Health Care

JULY 21, 2022

The Centers for Medicare & Medicaid Services (CMS) released its first ever home- and community-based services (HCBS) quality measures Thursday. The measures are build around three pillars: access, a rebalancing of HCBS spend versus institutional care spend and community integration.

Medicaid 109

Medicaid Home Care Integration Medicare 109

Home Health Care

AUGUST 15, 2023

The at-home care startup MedArrive has announced a new collaboration with Heartbeat Health, one of the largest tech-enabled virtual cardiology companies in the country. Together, the two companies will work together to bring Heartbeat’s on-demand cardiovascular services into the home for health plans using MedArrive.

Home Care 77

Home Care Medicaid Integration 77

Home Health Care

JULY 11, 2023

The company is additionally acquiring the Ohio-based Choice Nursing Care & Home Health. PurposeCare has set up branches across the Midwest, enabling these new acquisitions to more seamlessly integrate into the brand. Joseph, Michigan-based Home Sweet Home In-Home Care.

Home Care 72

Home Care Integration Medicaid Nursing 72

Home Health Care

MARCH 6, 2023

This article is a part of your HHCN+ Membership One of the most intriguing story lines in home-based care over the next year will be whether home health providers can successfully make themselves an integral part of hospital-at-home care in the U.S.

Hospitals 90

Hospitals Medicaid Home Care Medicare 90

Home Health Care

NOVEMBER 6, 2023

Some home health providers find it useful and others find it to be yet another administrative burden. Centers for Medicare & Medicaid Services (CMS) seems intent on expanding it. Broadly, the goal of RCD is to reduce improper billing in home health care. Either way, the U.S.

Medicare 101

Medicare Medicaid Home Care Integration 101

Home Health Care

SEPTEMBER 5, 2023

The Centers for Medicare & Medicaid Services (CMS), which is a part of HHS, finalized a rule in January that would allow the agency to recoup overpayments through Risk Adjustment Data Validation (RADV). With that said, we are committed to working productively with CMS to ensure the integrity of the program is maintained.”

Medicare 89

Medicare Home Care Medicaid Integration 89

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. States have responded to this call for action and are integrating principles of equity and inclusivity into their state plans on aging.

Medicaid 64

Medicaid Nursing Accountability Integration 64

Home Health Care

JANUARY 23, 2023

Looking back at Congress’ role in improving home-based care workforce issues in 2022, the industry saw more of an “aspirational” year than a “productive” one. That’s according to Bill Dombi, president of the National Association for Home Care & Hospice (NAHC).

Medicare 77

Medicare Home Care Medicaid Regulations 77

Home Health Care

APRIL 15, 2024

Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives. Much of the specifics are still to be decided,” NAHC President William A.

Accountability 66

Accountability Medicare Home Care Quality of Care 66