Home Health Care

APRIL 12, 2024

In past years, Medicare-certified home health agencies and Medicaid personal care services providers have been big focus areas for government watchdogs. While there’s still plenty of oversight, the spotlight on home health and personal care providers appears to have dimmed somewhat. billion in claims.

Medicaid 96

Medicaid Medicare Home Care Regulations 96

Sheppard Health Law

FEBRUARY 3, 2023

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] New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R.

Medicaid 52

Medicaid Regulations Prevention Accountability 52

Home Health Care

MARCH 28, 2022

Home care franchise giant Seniors Helpers entered this year with big ambitions, partly fueled by its April 2021 acquisition by Advocate Aurora Enterprises. For our latest episode of “Disrupt,” Home Health Care News caught up with Ross to learn more about Senior Helpers’ plans in 2022 and its relationship with Advocate.

Home Care 90

Home Care Medicare Hospitals Medicaid 90

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

JUNE 30, 2023

Centers for Medicare & Medicaid Services (CMS) published a draft of its FY 2024 home health proposed payment rule Friday. For next year, CMS is proposing to decrease aggregate home health payments by 2.2%, or an estimated $375 million less compared to 2023 levels. This is a developing story.

Medicare 125

Medicare Medicaid Home Care Prevention 125

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. It’s completely false advertising.

Home Care 106

Home Care Medicare Nursing Integration 106

Home Health Care

SEPTEMBER 20, 2022

Plus, beneficiaries who are eligible for both Medicare and Medicaid make up a growing share of the MA population. KFF’s analysis examined 34 studies that compared the use of health care services between MA enrollees and traditional Medicare beneficiaries. These denials likely prevented or delayed needed care for beneficiaries.”.

Medicare 96

Medicare Home Care Medicaid Prevention 96

Home Health Care

FEBRUARY 22, 2024

That is the core driver of a lot of home health providers’ AI strategies: finding ways to become more efficient to avoid fallout from any rate cuts from the Centers for Medicare & Medicaid Services (CMS). Alivia Care CEO Susan Ponder-Stansel is taking the same approach, but through a different lens.

Home Care 106

Home Care Prevention Nursing Medicare 106

Home Health Care

SEPTEMBER 6, 2023

The Centers for Medicare & Medicaid Services (CMS) unveiled a new state-focused demonstration model Tuesday. One of the model’s primary objectives is to shift health care spending and utilization more toward primary and community-based care. The Washington, D.C.-based

Primary Care 109

Primary Care Population Health Medicare Medicaid 109

Home Health Care

APRIL 21, 2023

The Expanding Care in the Home Act (ECHA) would, among other things, create a personal care services benefit in Medicare to give aid to beneficiaries who are unable to afford out-of-pocket payments but don’t qualify for home care services by Medicaid. ” The bill was introduced by Rep.

Medicare 97

Medicare Home Care Medicaid Prevention 97

Healthcare ECONOMIST

JUNE 16, 2023

diagnostic testing or a preventive medicine) because the later-stage savings accrue to Medicare or Medicaid. There are many more details in the paper as well including market failures with respect to private long-term care insurance, the impact of AD on financial decisionmaking, and future research topics on the economics of AD.

Home Care 96

Home Care Pharmaceuticals Nursing Medicaid 96

Home Health Care

AUGUST 25, 2021

Centers for Medicare & Medicaid Services (CMS) is sure to add more fuel to the fire for the “Choose Home” initiative and other movements aiming to bring more care into the home. A recently published study by the U.S. The potential impact on legislation. Introduced to the U.S.

Nursing 106

Nursing Home Care Medicare Accountability 106

Home Health Care

MAY 30, 2022

The findings throw further support for facility-based care alternatives, including the types of hospital-at-home models that lean heavily on home health and home care agencies. Since then, the Mount Sinai team has repeatedly observed outcomes that surpass traditional hospital care.

Hospitals 89

Hospitals Medicare Prevention Home Care 89

Etactics

JUNE 29, 2023

Really the price of nursing home care depends on many different factors. In some cases, nursing home facilities have all-inclusive rates. Medicare Part A: Skilled Nursing Facility (SNF) Care First let’s look at Medicare Part A in a general scope. This coverage is good for: Hospital inpatient care. Home health care.

Nursing 52

Nursing Medicare Home Care Medicaid 52

Home Health Care

DECEMBER 15, 2022

One of the largest Medicaid health plans in the country is teaming up with one of the most successful home-based care startups to serve around 40,000 members in Texas. On Thursday, the Texas-based Superior HealthPlan announced a home health partnership with MedArrive. But that’s certainly just the starting point.

Medicaid 99

Medicaid Telemedicine Primary Care Home Care 99

Home Health Care

JULY 28, 2022

The Preserving Access to Home Health Act, which was introduced in the Senate earlier this week, was also introduced in the House on Thursday. The bill would prevent the U.S. Centers for Medicare & Medicaid Services (CMS) from reducing home health payments from now until 2026.

Home Care 99

Home Care Medicare Medicaid Prevention 99

Briggs Healthcare

JULY 18, 2022

“After decades of exposés, special commissions, and advocacy, the moment has arrived to commit to making the residential nursing home a good place to live (National Academies of Sciences, Engineering, and Medicine, 2022). The horrendous death toll for nursing home residents and staff, 15.4% 2020; Harrington et al., 2019; Hawes et al.,

Nursing 80

Nursing Regulations Medicaid Home Care 80

Home Health Care

MAY 10, 2024

This article is a part of your HHCN+ Membership The Medicaid Access Rule has been finalized, with six years until the implementation of the 80-20 provision. There’s no time to rest for home-based care providers and advocates on the regulation front, however. In 2024, there’s already been a few major developments on those fronts.

Medicare 74

Medicare Medicaid Home Care Regulations 74

Home Health Care

NOVEMBER 18, 2021

Generally, the two data dumps that home care operators care about most are related to primarily health-related supplemental benefits and the Special Supplemental Benefits for the Chronically Ill (SSBCI) opportunity. NYSE: ANTM) and many of its affiliated health plans offer a home helper benefit. Anthem Inc.

Medicare 124

Medicare Home Care Medicaid Prevention 124

Home Health Care

MAY 26, 2023

There are a number of key issues that home-based care providers looking to navigate legal and regulatory hurdles need to keep their eye on – some old, and some new. When the industry has pulled together, worked together, and spoken in a singular voice, that has been a very effective strategy,” he said.

Home Care 90

Home Care Law Firms Nursing Medicaid 90

Home Health Care

JUNE 23, 2022

Centers for Medicare & Medicaid Services (CMS) Administrator, Seema Verma, did not paint a rosy outlook for the home health industry this week in Chicago. Verma said at Lincoln Healthcare’s Home Care Innovation and Investment Conference Wednesday. The former U.S.

Medicare 118

Medicare Medicaid Home Care Hospitals 118

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. ACO Accountable Care Organizations. CBCM Community Based Care Management Program.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

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] billion was spent on LTSS.

Medicaid 52

Medicaid Medicare Accountability Nursing 52

Home Health Care

AUGUST 18, 2021

Centers for Medicare & Medicaid Services (CMS) introduced its “Acute Hospital Care At Home” wavier program. The CMS wavier — a COVID-19 relief measure — created a reimbursement opportunity for hospitals already working in the in-home care space, as well as those looking to enter for the first time.

Remote Care 105

Remote Care Home Care Hospitals Medicaid 105

Home Health Care

AUGUST 30, 2021

Centers for Medicare and Medicaid Services (CMS). The overall goal of the program is to improve patient care and curb health care costs. Currently, CommonSpirit Health operates more than 1,000 care sites and 142 hospitals across 21 states.

Medicare 115

Medicare Rehabilitation Home Care Accountable Care 115

Home Health Care

OCTOBER 31, 2022

That’s a phased-in approach that the Centers for Medicare & Medicaid Services (CMS) would like to continue in coming years. . “We We now turn to Congress to correct what CMS has done and prevent the impending harm to the 3.2

Medicare 95

Medicare Medicaid Home Care Prevention 95

Home Health Care

DECEMBER 13, 2021

Now, being partners with the large MA plans and large hospital systems, via our Contessa acquisition, we can drive our risk-taking solutions into traditional home health and hospice, as well as increase our market size into high-acuity home care. Consumers expect health care to come to them. Nasdaq: AMED). * * *.

Home Care 104

Home Care Nursing Prevention Medicare 104

Home Health Care

SEPTEMBER 23, 2021

Trade groups, providers and individuals have always advocated on behalf of the home health and home care sectors. Not many fight for legislative and regulatory causes as much as the National Association for Home Care & Hospice (NAHC). 1 priority remains the Choose Home Care Act of 2021.

Home Care 97

Home Care Law Firms Medicare Primary Care 97

Healthcare It News

NOVEMBER 30, 2021

The New York State Health Home program is designed for the neediest Medicaid patients and aims to reduce overall healthcare costs by decreasing inpatient costs (and utilization) by addressing social determinants of health such as housing, transportation and food. THE PROBLEM.

Quality Assurance 265

Quality Assurance Prevention Hospitals Telemedicine 265

Home Health Care

AUGUST 24, 2021

On Thursday, the New York Department of Health, Codes Committee of the Public Health and Health Planning Council (PHHPC) will meet to consider implementing an emergency regulation regarding “Prevention of COVID-19 Transmission by Covered Entities.”. Empath Health also runs a Program of All-Inclusive Care for the Elderly (PACE) operation.

Regulations 98

Regulations Home Care Medicare Medicaid 98

Home Health Care

NOVEMBER 12, 2021

Jennifer Gentzlinger: Just a little background, Premier is our at-home care organization primarily based in the New York market. They’ve identified a cohort of Medicaid-Medicare duals, duly managed under the health plan with diabetes and hypertension as two of their primary comorbidities.

Home Care 89

Home Care Medicaid Primary Care Hospitals 89

HIT Consultant

NOVEMBER 16, 2022

DispatchHealth Raises $330M for Hospital-at-Home Care. DispatchHealth , a provider of in-home medical care raises $330M led by Optum Ventures with support from current investors such as Humana (NYSE: HUM), Oak HC/FT, Echo Health Ventures and Questa Capital.

Physical Therapy 98

Physical Therapy Integration Accountable Care Rehabilitation 98

Home Health Care

SEPTEMBER 21, 2021

As part of its business model, it contracts with Medicare Advantage (MA) plans, Medicaid and employer-sponsored health plans to bring “family on demand” to seniors. Milliman acquired HealthIO in 2020, recognizing the platform’s ability to show the “dramatic impact preventive health can have on any organization’s bottom line.”

Home Care 96

Home Care Medicaid Prevention Medicare 96

Home Health Care

FEBRUARY 23, 2024

The company has its own Program of All-Inclusive Care for the Elderly (PACE), and plans to open another in due time. Ponder-Stansel sat down with HHCN and its sister site, Hospice News, to chat about that value-based care journey – and more – last month at Home Care 100 in Scottsdale, Arizona. How do you offset that?

Hospice Care 85

Hospice Care Prevention Medicaid Home Care 85

Home Health Care

JANUARY 31, 2022

“If we’re going to tackle health disparities here in the United States, we must ensure that everyone — and I mean everyone — can get the preventative eye care they need,” Mike Ricci, CEO and co-founder of Spect, said in a press statement. While regular eye check-ups can help prevent this, 60% of U.S.

Prevention 52

Prevention Telemedicine Accountable Care Accountability 52

Home Health Care

AUGUST 15, 2021

The COVID-19 pandemic has shed light on the need for home- and community-based services (HCBS), with that attention likely to lead to new funding and regulatory flexibilities moving forward. At the same time, however, the public health emergency (PHE) has disrupted the HCBS space more than anything in history.

Medicaid 122

Medicaid Prevention Medicare Home Care 122

Home Health Care

JUNE 29, 2022

“Several studies have raised concerns that insurance companies are denying beneficiaries’ access to treatment and imposing burdensome requirements that delay care. Improper claim denials and increased use of prior authorizations are preventing beneficiaries from receiving the care they need.”. Medicare,” she said.

Medicare 83

Medicare Prevention Accountability Medicaid 83