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CMS sets Medicaid payments to home care workers at 80%

Fierce Healthcare

The Centers for Medicare & Medicaid Services is hoping to improve Medicaid enrollees’ access to care through a final rule that better compensates caregiving roles. | CMS released a series of final rules Monday, including Medicaid access regulations that some groups worry will cause providers to close.

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Home Care Industry Slams Finalized 80-20 Rule, Warns Agency Closures Are Coming

Home Health Care

“The ‘Ensuring Access to Medicaid Services’ final rule, finalized today, will help improve access to home care services as well as improve the quality caregiving jobs through its new provisions for home care,” the White House wrote in a statement Monday. This is a developing story. This is a developing story.

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The ‘Strange Tension’ That Exists Between Consumer-Directed Models, Regulations Surrounding Them

Home Health Care

This article is a part of your HHCN+ Membership At some point in their lives, most Americans will need some type of in-home care support. The issue is that — due to the caregiver shortage, the rising cost of care, Medicaid qualifications and a number of other factors — many of them won’t be able to afford it.

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2024 Executive Forecast: What 9 Home Care Leaders Expect Next Year

Home Health Care

While home care providers are working to mitigate headwinds – such as the rising cost of delivering care and staffing challenges – they also have their eye on where the industry goes from here. As 2024 approaches, home care leaders are embracing AI, alternative payer sources, employee-centric solutions and much more.

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Looming Provider Choice Home Care Regulations ‘Slap in Face’ to Smaller Providers

Home Health Care

A new proposal in Pennsylvania that would create “unnecessary” duplication for how disabled patients choose their home care providers and receive care is causing some angst in the Keystone state. Choosing a home care agency or caregiver plan is one of the highest priorities for people living with disabilities in Pennsylvania.

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With Medicaid Access Rule Finalized, Home Care Providers Enter ‘Wait-And-See’ Mode

Home Health Care

Amid Medicaid changes, the most relevant news to home care providers is the aforementioned 80-20 provision, which will force HCBS providers to direct 80% of reimbursement to direct care workers. “We National Association for Home Care & Hospice (NAHC) President William A. We would advise against that.

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Home Care May Have Reached Its ‘Tipping Point’ With Billing Rates

Home Health Care

As home care leaders begin to strategize for 2024, part of the process will be identifying the challenges they believe will be main characters next year. Oftentimes, home care leaders will point to labor as the biggest challenge in the space. And, as a result, the price tag attached to care billing rates.

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