Home Health Care

FEBRUARY 1, 2023

Before other states start to consider minimum wage increases for home care workers, it would be beneficial for them to understand what has – and hasn’t – gone well in New York. In the spring of 2022, New York legislators passed a law that gave home care workers an extra $1 per hour above the state’s $15 minimum wage.

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Home Care Medicaid Law Firms Nursing 93

Home Health Care

MARCH 18, 2024

As at-home care has increasingly become a more popular model for health care, a significant portion of fraud convictions over the last 10 years have involved personal care services attendants. That’s according to a new report from OIG that detailed the findings from Medicaid Fraud Control Units (MFCUs).

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Medicaid Accountability Home Care Nursing 52

Home Health Care

MARCH 28, 2024

Provider leaders see home care union demands as unrealistic. Private-pay home care is the exception, where agencies can pass additional wage costs onto the consumer. Home care unionization efforts ticked up prior to the pandemic, but slowed once COVID-19 began to spread. At least for now. Yes,” he said.

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Home Care Law Firms Medicare Accountability 52

Home Health Care

AUGUST 19, 2022

Integrated Home Care Services hires new CEO. Integrated Home Care Services Inc. Indeed, the appointment comes on the heels of Integrated Home Care Services’ national expansion efforts. Currently, Integrated Home Care Services delivers home-based care to over 2.2

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Home Care Integration Medicare Medicaid 86

Home Health Care

MARCH 28, 2022

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. Department of Health and Human Services Office of Inspector General (OIG) recently released its latest Medicaid fraud report.

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Medicaid Home Care Accountability Integration 105

Home Health Care

APRIL 27, 2023

About a dozen years ago when Will Putman took over the business development side of Continuous Home Care, his dad — the co-founder of the company — had an unofficial benchmark nicknamed “blackjack.” Continuous Home Care is a Pennsylvania-based home health provider with about 350 employees.

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Home Care Physical Therapy Medicare Accountable Care 89

Home Health Care

MAY 31, 2022

Brandon Ballew, the CEO of AccordCare, is a former Kindred at Home executive. But as the home health industry changed, he saw increased opportunity on the non-medical home care side. HHCN: You’ve come from the home health space, having previously worked for Kindred at Home.

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Home Care Medicaid Accountability Nursing 104

Home Health Care

SEPTEMBER 18, 2023

“Help at Home has made the decision to exit Alabama in-home personal care operations across the state, which was not made lightly,” Trenaman said in an email. “We We take our responsibility to provide the safest, in-home personal care services to our clients very seriously.

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Home Care Medicaid Accountability 119

Home Health Care

MAY 4, 2023

Centers for Medicare & Medicaid Services’ (CMS) latest proposed rule , which includes a provision that would require at least 80% of Medicaid payments to go toward compensation for personal care workers. During the call, Sampson also discussed Medicaid redetermination and how he believed it would impact Modivcare.

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Medicaid Regulations Accountability Medicare 82

Home Health Care

MAY 24, 2024

Though home health care helps nearly 36 million 65+ and permanently disabled Americans recover at home and avoid costlier placements in institutions, the Centers for Medicare & Medicaid Services (CMS) has initiated deep cuts to the Medicare home health industry, totaling $25 billion in cuts over the next decade.

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Medicare Medicaid Nursing Home Care 121

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.

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Medicaid Regulations Prevention Accountability 52

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.

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Medicaid Medicare Accountability Integration 106

Home Health Care

MAY 8, 2023

“The outstanding depth of his experiences and accomplishments as a leader within a variety of nonprofit and academic health care settings makes him the ideal person to lead Hebrew SeniorLife in its mission to empower seniors to live their best lives.” Nasdaq: MODV).

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Home Care Primary Care Accountability Medicaid 52

Home Health Care

APRIL 6, 2022

And while there are plenty of kinks to work through before these benefits become a significant revenue driver for home-based care agencies, their increasing popularity is undoubtedly encouraging. Take into account the plans offering IHSS through either pathway, and that number jumps to 18% of all plans, or 952 total plans.

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Home Care Medicare Accountability Medicaid 97

Healthcare It News

AUGUST 29, 2022

Employees using Galileo avoid more expensive visits to in-person specialty, urgent or ER care 80% of the time. More than 85% of patients report improved health after receiving care from Galileo. From there, we established partnerships with both regional and national health plans to offer virtual-first care to their members.

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Telemedicine Primary Care Medicaid Urgent Care 261

Home Health Care

FEBRUARY 8, 2024

This article is a part of your HHCN+ Membership Home-based care providers avoiding the shift to value-based care are running out of time and excuses. Home health providers are already under the Home Health Value-Based Purchasing (HHVBP) Model, which is, by definition, a value-based care model. “In

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Medicare Accountable Care Accountability Primary Care 120

Home Health Care

NOVEMBER 7, 2023

Centers for Medicare & Medicaid Services (CMS) has stated its objective to enroll all of its Medicare beneficiaries in accountable care relationships by 2030. Amid the pandemic, the company approached CMS about expanding at-home care services, for instance. “We Currently, roughly 13.2

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Medicare Accountable Care Home Care Accountability 104

HIT Consultant

FEBRUARY 3, 2022

What You Should Know: – ConcertoCare , a value-based care provider of at-home care for seniors and other adults with unmet health and social needs raises $105M in Series B funding led by Wells Fargo Strategic Capital. At-Home Care Model to More Seniors with Unmet Health and Social Needs.

Home Care 52

Home Care Primary Care Population Health Medicare 52

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 Regulations Integration 102

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. TEAM would be yet another model furthering that goal, if enacted.

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Accountability Medicare Home Care Quality of Care 77

Home Health Care

AUGUST 25, 2023

And some of the highest-performing, most innovative Accountable Care Organizations (ACOs) participating in the program continue to generate savings by effectively using home-based care. Centers for Medicare & Medicaid Services (CMS) announced Thursday that MSSP saved Medicare $1.8

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Medicare Accountable Care Accountability Medicaid 96

Home Health Care

DECEMBER 15, 2021

A new analysis from the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS) estimates that health care spending in the U.S. And home health care, in particular, experienced robust spending growth. billion in 2020, accounting for 20% of total national health care expenditures.

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Medicaid Medicare Accountability Nursing 97

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. 31, 2020, accounting for the majority of the COVID-19 pandemic in the U.S. A recently published study by the U.S.

Nursing 110

Nursing Home Care Medicare Accountability 110

Home Health Care

FEBRUARY 16, 2022

The cost of home health care and home care increased more than it did in any other provider setting in 2021. s (NYSE: GNW) annual cost of care survey , which showed that while the cost of all long-term care services increased in the last year, home-based care was especially impacted by the turbulent labor environment.

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Home Care Accountability Medicaid 132

Home Health Care

APRIL 30, 2024

This article is a part of your HHCN+ Membership Now that the Medicaid Access Rule has been finalized , home-based care’s company leaders have had time to digest it, and consider what it means for the future of the space. Also excluded are all the other costs that come with running a home care agency.

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Home Care Medicaid Accountability Quality Improvement 109

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. They don’t want to just let it park in a savings account in a bank.”

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Home Care Medicaid Integration Accountability 111

Home Health Care

JUNE 17, 2022

Centers for Medicare & Medicaid Services (CMS) released its FY 2023 home health proposed payment rule late Friday. Dombi, the president of the National Association for Home Care & Hospice (NAHC), wrote in a comment shared with Home Health Care News.

Accountability 111

Accountability Medicaid Home Care Medicare 111

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. In 2024, people with Medicare and Medicaid coverage (i.e.,

Medicaid 65

Medicaid Nursing Accountability Integration 65

Home Health Care

JULY 28, 2023

There are a number of factors that are contributing to this trend of bankruptcy filings, including capital market constraints, care shifting out of institutional settings and the expiration of continuous Medicaid enrollment. It’s not an absolute certainty that home-based care providers will continue to go unscathed, however.

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Home Care Nursing Medicaid Accountability 90

Home Health Care

MARCH 7, 2024

But the failure of hospice’s fit within VBID points to larger problems that exist somewhere between home-based care providers and MA plans. Providers with the means tried to gain more scale to better account for a landscape with the hospice carve-in. Home health providers will be the first ones to tell you so.

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Medicare Home Care Hospice Care Accountability 98

Home Health Care

JUNE 3, 2024

This article is a part of your HHCN+ Membership Last month, the Centers for Medicare & Medicaid Services (CMS) revealed that it planned to extend Review Choice Demonstration (RCD) for five additional years. Though many home health providers had a bumpy start when RCD first launched, most of the industry has since adjusted.

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Medicare Home Care Accountability Medicaid 109

Home Health Care

JANUARY 30, 2023

The Centers for Medicare & Medicaid Services (CMS) released a final rule Monday that takes aim at overpayments and accountability within Medicare Advantage (MA). Home health and home care providers have been vying for more MA oversight for years. CMS will begin extrapolating findings for payment year 2018.

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Medicare Accountability Medicaid Home Care 94

Home Health Care

AUGUST 23, 2023

Centers for Medicare & Medicaid Services (CMS) decides to do with its home health final payment rule , industry experts believe providers need to drastically improve their cost reporting data. Over the years, Maxim said she has seen providers cutting corners firsthand when hiring accountants to put together cost reports.

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Law Firms Medicaid Hospice Care Regulations 94

Home Health Care

JUNE 12, 2024

Though the Medicaid Access Rule was recently finalized – including the 80/20 provision – personal care is still insulated from the larger stroke-of-the-pen risks that exist in Medicare-certified home health care. Perhaps it’s unsurprising, then, that the largest transactions in 2024 have been in personal care.

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Home Care Accountability Medicaid Medicare 97

Home Health Care

MARCH 30, 2023

Personal home care provider and advocate voices did so with an excitement for the future, fresh off the high of the president mentioning multiple times in a month. Dombi Bill Dombi said afterward in a statement shared with Home Health Care News.

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Medicare Accountability Hospitals Home Care 111

Home Health Care

JULY 20, 2023

Although the news will be greeted warmly by caregivers in the Golden State, experts in the home-based care space are worried the minimum wage increase will have adverse effects on providers. “It Taking a broad approach to the issue of caregiver compensation could come with unexpected challenges.

Law Firms 83

Law Firms Medicaid Nursing Accountability 83

HIT Consultant

AUGUST 5, 2022

Predictions regarding Home Care and Medicaid Outlook: As a general observation, Stout thinks that many states will increase reimbursement rates and funding for Medicaid recipients, who have often had difficulty accessing quality home care due to providers declining to participate in government-funded programs.

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Life Sciences Telemedicine Healthcare Biotechnology 98