article thumbnail

Addus Remains Disappointed With Medicaid Access Rule, But It’s Also Willing To Take Advantage

Home Health Care

Nasdaq: ADUS) leaders still believe the Medicaid Access Rule missed the mark. The company is regularly building out its personal care footprint, expanding it in some areas and bolstering it in others. If consolidation is a result of the Medicaid Access Rule’s 80-20 provision , Addus would be a likely beneficiary. “We

article thumbnail

Medicaid Redetermination And What It Means For Home-Based Care

Home Health Care

In less than two weeks, there may be far fewer eligible Medicaid beneficiaries. Medicaid membership ballooned during the pandemic. Millions of people were suddenly eligible for public health care when companies went through layoffs and when unemployment spiked. Its largest business is Medicaid-based personal care services.

Medicaid 105
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

CMS is Taking Action to Address Benefit Integrity Issues Related to Hospice Care

Briggs Healthcare

The Centers for Medicare & Medicaid Services (CMS) has an important role to play in ensuring that hospices are providing necessary and critical, high-quality care to our Medicare beneficiaries at the end of life. Unfortunately, hospices are profiting from fraud at the expense of beneficiaries far too often.

article thumbnail

Abuse and Neglect: CMS Should Strengthen Reporting Requirements to Better Protect Individuals Receiving Hospice Care

Briggs Healthcare

GAO’s review of Centers for Medicare & Medicaid Services (CMS) requirements for reporting and responding to abuse and neglect allegations found two gaps in the requirements for hospices, compared with requirements for extended care provided in hospitals and nursing homes.

article thumbnail

Palliative Care in Medicaid — Costing Out the Benefit: Actuarial Analysis of Medicaid Experience

NASHP

Palliative Care in Medicaid. Costing Out the Benefit: Actuarial Analysis of Medicaid Experience October 6, 2022/ by Elrycc Berkman, ASA, MAAA; Tim Doyle, FSA, MAAA; and Ryan Brancati. for every $1 spent on palliative care. for every $1 spent on palliative care. Background What Is Palliative Care?

article thumbnail

Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid

NASHP

Strengthening Care for People with Serious Illness Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid. People with complex or life-threatening conditions often need extra support to manage symptoms and make critical decisions about their care and quality of life. March 14, 2022.

article thumbnail

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

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