Home Health Care

DECEMBER 7, 2023

While elder care is growing more quickly, I predict in the next 2-3 years, we will see an increase in home care utilization among a more diverse group of demographics — mainly helping support those with chronic conditions. Baseline regulations that set forth good business practices to keep clients and caregivers safe are essential.

Home Care 121

Home Care Regulations Nursing Prevention 121

NASHP

JANUARY 12, 2024

States have responded to this call for action and are integrating principles of equity and inclusivity into their state plans on aging. In 2024, people with Medicare and Medicaid coverage (i.e., dual eligibles) will continue to enroll in integrated managed care special needs plans or D-SNPs (Dual-Eligible Special Needs Plans).

Medicaid 63

Medicaid Nursing Accountability Integration 63

Home Health Care

DECEMBER 19, 2021

I think that the biggest hurdles the home care industry will face in 2022 are the ramifications that come from overregulation and the outdated regulations of private-duty, private-pay home care. The current regulations have just not kept pace with the number of older adults that need care in this country.

Home Care 128

Home Care Regulations Nursing Hospitals 128

NASHP

OCTOBER 20, 2022

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

OCTOBER 22, 2021

Since 2014 (first under its “Dual Demo” demonstration and then later via D-SNP contracts), the state has enabled Medicaid MCOs to participate in value-based purchasing through its Integrated Care System Partnerships (ICSP) model. In Rhode Island, MCO plans of care must include “interventions to address special needs (e.g.,

Medicaid 101

Medicaid Hospice Care Integration Regulations 101

Home Health Care

MAY 12, 2022

The appointment followed reports that Colorado’s Department of Health Care Policy and Financing and the U.S. Centers for Medicare & Medicaid Services (CMS) stopped reimbursing InnovAge for new clients. InnovAge’s plan to remediate and transform — which the company has dubbed “One InnovAge” — has three key dimensions.

Quality of Care 52

Quality of Care Regulations Medicaid Home Care 52

Icanotes

MARCH 9, 2022

If a patient has an insurance plan with parity that would grant them unlimited medical visits in person, they have the right to equal treatment and care for their condition through telemedicine and telehealth. The Medicare Telehealth Parity Act of 2017 expanded telehealth coverage to include more services under Medicare.

Telemedicine 52

Telemedicine Medicaid Medicare Physical Therapy 52

NASHP

MARCH 22, 2024

It includes examples from various states organized by the framework buckets: integrated primary and behavioral health care, crisis continuum of care, in-home and in-community based, and out-of-home and community.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Home Health Care

JANUARY 4, 2023

A lot of compliance legality issues, making sure that our offices remain compliant with all the rules and regulations, and advocating for our industry as a whole. We are very involved with HCAOA, as well as the National Association of Home Care. I’ve been in home care for 33 years.

Home Care 105

Home Care Integration Regulations Hospitals 105

Sheppard Health Law

NOVEMBER 13, 2023

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). The UM committee was established in April 2023 in the 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F).

Medicare 59

Medicare Medicaid Regulations Integration 59

NASHP

MAY 20, 2022

Although states can promote family caregiver services through licensure, regulation, and outreach, the most powerful policy lever that states have to increase access is funding key services and supports. The COVID-19 pandemic heightened reliance on family caregivers. How States Assist Family Caregivers. How States Assist Family Caregivers.

Medicaid 114

Medicaid Nursing Hospitals Home Care 114

NASHP

MAY 8, 2023

Source: Centers for Medicare & Medicaid Services Health Disparities : Preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations. 34 The ACA’s data collection requirements also do not extend to the private insurance market.

Medicaid 52

Medicaid Regulations Prevention Medicare 52

Home Health Care

NOVEMBER 6, 2023

When it comes to policy, Gurian believes a more full-picture approach needs to be taken by health care regulators and stakeholders. From a LeadingAge perspective, there’s also sort of a lack of focus on the continuum and big picture for long-term care and how we need all the pieces to fit together from a policy perspective.

Medicaid 102

Medicaid Quality of Care Regulations Medicare 102