Home Health Care

APRIL 23, 2024

This article is a part of your HHCN+ Membership On Tuesday, Centers for Medicare & Medicaid Services (CMS) officials vehemently backed the thought process behind the “80-20” wage mandate in home- and community-based services (HCBS). National Association for Home Care & Hospice (NAHC) President William A.

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Home Health Care

DECEMBER 5, 2024

We know that most adults want to age in place at home, which is the right place as its proven to be better for overall health and well-being and more cost-effective than an institutionalized setting, Help at Home President Tim ORourke told Home Health Care News.

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Home Health Care

MARCH 10, 2025

Addressing social determinants of health (SDoH) is becoming increasingly important due to new regulations from the Centers for Medicare & Medicaid Services (CMS) and the shift toward value-based care payment models. Care Integration aims to help clients find the right level of care at the right time, she explained.

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Home Health Care

JULY 11, 2022

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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Home Health Care

APRIL 22, 2024

The “Ensuring Access to Medicaid Services” rule has been finalized. Most importantly, the bemoaned “80-20” provision has gone through as proposed, meaning providers will eventually be forced to direct 80% of reimbursement for home- and community-based services (HCBS) to caregiver wages.

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Home Care Medicaid Accountability Regulations 113

Home Health Care

JULY 29, 2024

Medicaid home- and community-based services (HCBS) vary by state, in many ways. a keen understanding of the different ways state Medicaid agencies pay for services. Broadly, Medicaid is a state and federal partnership. Fee for services is one of the most common ways that HCBS are reimbursed through Medicaid.

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Home Health Care

JUNE 17, 2024

This article is a part of your HHCN+ Membership The Medicaid Access Rule has been heralded by home care providers as a mostly good rule with one misguided piece: the 80-20 provision. Billing rates have already soared in private-pay home care since the COVID-19 pandemic, which has forced providers to get creative.

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Home Health Care

DECEMBER 7, 2021

Mostly, though, the Obama-era regulation has ended up decreasing the amount of live-in care that home care agencies provide. Live-in care used to be a less expensive way of getting 24-hour care,” Georgetown Home Care (GHC) CEO John Bradshaw told Home Health Care News.

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Regulations Home Care Law Firms Accountability 98

Home Health Care

MARCH 10, 2025

Centers for Medicare and Medicaid Services (CMS) has revoked guidance related health-related social needs (HRSN) through Section 1115 waivers. Industry advocates say the move is indicative of the broader administration priorities to reduce Medicaid expenditures.

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Medicaid Medicare Regulations Home Care 76

Home Health Care

OCTOBER 24, 2024

Direct care workers are, in many ways, the collective face of home-based care organizations. Therefore, regulators and providers are increasingly taking a closer look at who they’re hiring in the first place. To combat this trend, increased vetting is essential when hiring individuals to care for seniors in their homes.

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Home Care Law Firms Medicaid Regulations 123

NASHP

NOVEMBER 11, 2024

Medicaid is the primary public source of coverage for long-term services and supports (LTSS) , funding over half of these services in 2020. In North Dakota , the state conducts LTSS Options Counseling for all Medicaid individuals over age 21 who are referred for a long-term stay in a nursing home.

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Medicaid Home Care Nursing Regulations 80

Home Health Care

DECEMBER 7, 2023

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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Home Health Care

FEBRUARY 13, 2024

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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Regulations Home Care Law Firms Medicaid 113

Home Health Care

DECEMBER 2, 2024

The saga involving New York’s self-directed home care program has taken yet another turn. Last week, a home care company that was not chosen to be the fiscal intermediary for the program moving forward sued the state, alleging that the selection process was rigged. The lawsuit was filed by Freedom Care LLC.

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Home Care Medicaid Healthcare Regulations 52

Home Health Care

FEBRUARY 14, 2024

One way to do so would be by mirroring the regulatory model state Medicaid programs use for home- and community-based services. The report suggests that the Medicaid model is the answer. Medicaid] has always kind of relied on that regulated agency model that the states have kind of set up around caregivers entering the home.

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Home Care Medicaid Regulations Medicare 79

Home Health Care

FEBRUARY 23, 2022

Policy and regulations for home care haven’t kept pace with the growing demand for services and the overall increased visibility of the sector. In terms of the type of care seniors prefer, services that allow them to age in place for as long as possible are overwhelmingly popular.

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Home Care Medicare Regulations Medicaid 113

Home Health Care

SEPTEMBER 19, 2024

have set their sights on lifting age-based restrictions in the Medicaid buy-in program. Their proposed legislation has the potential to widen the addressable market for home care providers. On Wednesday, the policymakers introduced the Ensuring Access to Medicaid Buy-In Programs Act. Bob Casey (D-Penn.)

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Medicaid Regulations Home Care Prevention 104

Home Health Care

FEBRUARY 13, 2022

Like any regulations that home-based care agencies have been subjected to of late, it’s been hard for some providers to adjust and easier for others. Broadly, EVV applies to Medicaid-reimbursed home care providers. Managed care organization (MCO) choice, where MCOs select the vendor and cover most costs. “So

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Home Care Medicaid Regulations Medicare 98

Home Health Care

SEPTEMBER 29, 2021

With more eyes than ever on the home care industry, experts are trying to read the tea leaves to determine if greater standardization will eventually follow. Once considered the “youngest kid” in the larger health care continuum, home care has been ushered into the spotlight over the past couple of years.

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Home Health Care

SEPTEMBER 28, 2023

The report found that 53% of Medicaid long-term services and support spending for seniors and adults with physical disabilities went to home- and community-based services. Plus, 12 states spent the majority of Medicaid long-term services and support funding on home- and community-based services. North Carolina 42.

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Home Care Medicaid Regulations Nursing 113

Home Health Care

AUGUST 16, 2022

The convener platform healthAlign has a front-row seat to see how home care is being utilized in Medicare Advantage (MA). We have pretty good insight into what you see take place over a period of time when these public policy changes occur,” Friedell said at HHCN’s Home Care Conference last December.

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Home Care Medicare Regulations Medicaid 104

Home Health Care

NOVEMBER 22, 2023

Centers for Medicare & Medicaid Services’ (CMS) Acute Hospital Care at Home waiver was a major boost for organizations hoping to implement or expand hospital-at-home programs. 21 2023, 305 hospitalsand 129 systems in 37 states have been approved to provide hospital-at-home care under the CMS waiver program.

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Medicaid Hospitals Medicare Regulations 117

Home Health Care

FEBRUARY 16, 2024

Empirical evidence suggests that hospital-at-home care is safe and effective. Anecdotal evidence suggests that the model is still not nearly as widespread as it should be, however, with patients regularly asking their health care providers about the option. Medical care in the home is inherently a team sport,” Shulman said. “In

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Home Care Hospitals Regulations Medicaid 116

Home Health Care

JANUARY 19, 2022

But that shouldn’t deter MA interest for home-based care providers, Andy Friedell, the founder and CEO of healthAlign, said at the Home Health Care News Home Care Conference in December. . “We healthAlign is a convener of home-based care services.

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Home Care Medicaid Medicare Regulations 109

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 98

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 264

Home Health Care

AUGUST 9, 2022

Two large private equity firms have made under-the-radar investments in the self-directed, at-home care enabler Public Partnerships (PPL). Those caregivers, then, are generally paid out by state Medicaid programs. On the backers’ side, DW Healthcare generally invests in mid- to late-stage companies in the health care space.

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Home Care Regulations Medicaid Healthcare 98

Home Health Care

OCTOBER 1, 2024

This week, the Centers for Medicare & Medicaid Services (CMS) published a report on a study of its Acute Hospital Care at Home (AHCAH) program. This program permits specific Medicare-certified hospitals to provide inpatient-level care to patients in their homes.

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Home Care Hospitals Medicare Medicaid 111

Home Health Care

MAY 11, 2023

Centers for Medicare & Medicaid Services (CMS) recent proposed rule for Medicaid may cap business for certain providers , but industry experts believe the government agency is likely foreshadowing its intentions for the final rule. Industry advocates do not believe the 80% threshold will stand in the final rule. “I

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Medicaid Nursing Regulations Home Care 97

NASHP

JUNE 30, 2023

During the COVID-19 public health emergency (PHE), states instituted Appendix K amendments to 1915(c) home-and community-based waivers and 1115 demonstration waivers to ensure that Medicaid beneficiaries were able to receive needed services during the pandemic. Information was collected between May 9 and June 23, 2023.

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Medicaid Regulations Home Care Nursing 105

Home Health Care

MARCH 26, 2025

In-home care has long been considered a key component in ensuring optimal recovery from knee replacements, but self-care appears to be as effective for many patients. The similarities in outcomes between home care and self-care patients may be due to trends in patient demographics.

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Rehabilitation Physical Therapy Home Care Regulations 57

Home Health Care

APRIL 22, 2024

The White House teased the finalized Medicaid Access Rule early Monday, and the Centers for Medicare & Medicaid Services (CMS) later revealed more intricate details attached to the rule. I think disappointed is probably a better word,” National Association for Home Care & Hospice (NAHC) President William A.

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Medicaid Home Care Quality of Care Medicare 83

Home Health Care

AUGUST 14, 2023

Centers for Medicare & Medicaid Services (CMS) – which would require at least 80% of Medicaid reimbursement for home- and community-based services go toward worker compensation – received over 2,100 submissions during its public comment period. A proposed rule from the U.S.

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Medicaid Regulations Home Care Medicare 98

Home Health Care

MARCH 3, 2025

Help at Home, one of the largest home care providers in the country, has a new CFO. He previously served as Help at Homes senior vice president of investor relations and finance. RiverView Health Appoints Home Care Director RiverView Health has promoted Paige Tice to the role of its home care director.

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Home Care Regulations Medicaid Medicare 57

Home Health Care

FEBRUARY 7, 2023

This article is based on a Home Health Care News discussion with Gary Bachrach, Executive Director of Business Development, Home Care Services at The Joint Commission and Vicki Hoak, Chief Executive Officer at HCAOA. The discussion took place on November 16, 2022, during the HHCN Home Care Conference in Chicago.

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Home Care Medicare Regulations Medicaid 98

Home Health Care

APRIL 28, 2023

Centers for Medicare & Medicaid Services (CMS) proposed a new rule that would make major changes to the way that home care workers are compensated under Medicaid. The Frisco, Texas-based Addus currently provides home-based care services to approximately 46,500 consumers through 202 locations across 22 states.

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Home Health Care

MARCH 24, 2022

Centers for Medicare & Medicaid Services (CMS) in a lawsuit filed Friday. The plaintiffs in the case are Safe Haven Home Care Inc., Angel Care Inc., Elim Home Care Agency and DHCare Homehealth Inc. The plaintiffs in the case are Safe Haven Home Care Inc., Angel Care Inc.,

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