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.

Home Care 85

Home Care Regulations Medicaid Nursing 85

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.

Regulations 88

Regulations Home Care Law Firms Accountability 88

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.

Home Care 113

Home Care Regulations Nursing Prevention 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.

Medicaid 98

Medicaid Home Care Medicare Regulations 98

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.

Home Care 94

Home Care Medicaid Medicare Quality of Care 94

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.

Home Care 108

Home Care Medicare Regulations Medicaid 108

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 Care Regulations Nursing Medicare 103

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

Home Care 91

Home Care Medicaid Regulations Medicare 91

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.

Home Care 63

Home Care Medicaid Regulations Medicare 63

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.

Home Care 101

Home Care Medicaid Regulations Nursing 101

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.)

Medicaid 86

Medicaid Regulations Home Care Prevention 86

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.

Telemedicine 256

Telemedicine Primary Care Medicaid Urgent Care 256

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

Home Care 95

Home Care Hospitals Regulations Medicaid 95

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.

Medicaid 105

Medicaid Regulations Home Care Nursing 105

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.

Medicaid 100

Medicaid Hospitals Medicare Regulations 100

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.

Home Care 97

Home Care Medicaid Medicare Regulations 97

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.

Home Care 89

Home Care Medicare Regulations Medicaid 89

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.

Medicaid 95

Medicaid Regulations Home Care Medicare 95

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.

Home Care 87

Home Care Regulations Medicaid Healthcare 87

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.

Home Care 81

Home Care Medicaid Law Firms Nursing 81

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.,

Medicaid 127

Medicaid Home Care Regulations Medicare 127

Home Health Care

NOVEMBER 15, 2024

The Home Care Association of America (HCAOA) is backing home care-focused legislation introduced by Vice President-elect J.D. It would also require the Secretary of Health and Human Services to move to establish national quality standards of care for these services. Vance (R-OH) and Senator Maggie Hassan (D-NH).

Nursing 96

Nursing Quality Improvement Home Care Medicaid 96

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 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.

Medicaid 91

Medicaid Accountability Quality Assurance Home Care 91

Home Health Care

JULY 22, 2024

As home health providers continue to digest the proposed payment rule for 2025 , National Association for Home Care & Hospice (NAHC) President William A. They weren’t understanding how any margin [providers] got was subsidizing other government programs like Medicaid and Medicare Advantage. Ron Wyden (D-Ore.),

Regulations 108

Regulations Home Care Medicaid Medicare 108

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.

Home Care 88

Home Care Medicare Regulations Medicaid 88

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

Medicaid 76

Medicaid Nursing Regulations Home Care 76

Home Health Care

OCTOBER 27, 2023

“Minnesota has long taken pride in doing very well in providing care for Minnesotans, whether it be the older adults or people with disabilities, so I think we have continued to work on that,” Kathy Messerli, executive director at the Minnesota Home Care Association, told Home Health Care News. “I

Home Care 119

Home Care Medicaid Nursing Hospice Care 119

NASHP

MAY 26, 2023

Respite care is a service typically delivered in the home or a facility-based setting that provides short-term relief for caregivers. It is one of the most desired caregiver services , and Medicaid is one policy lever to fund it. nursing home) to receive long-term care services in their home and community.

Medicaid 121

Medicaid Nursing Regulations Integration 121

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.

Medicaid 67

Medicaid Home Care Quality of Care Medicare 67

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.

Home Care 85

Home Care Hospitals Medicare Medicaid 85

Home Health Care

JANUARY 31, 2024

The Medicare enrollment process undergoes annual changes at the Centers for Medicare & Medicaid Services (CMS) to ensure it remains up to date with evolving regulations, policies and health care practices. 1, and several of them will affect home health agencies. A number of changes went into effect on Jan.

Medicare 117

Medicare Regulations Medicaid Home Care 117

Home Health Care

MARCH 27, 2023

For the first time ever, two of the largest associations representing the home-based care industry have joined together on a call to action regarding the workforce shortage. Higher prices for care would then lead to more need for Medicaid support, something policymakers would have no choice but to pay attention to.

Home Care 113

Home Care Nursing Regulations Medicaid 113

Home Health Care

APRIL 9, 2024

President Joe Biden made remarks on the care economy – including home care – in a speech Tuesday at Union Station in Washington, D.C. You know, take home care,” he said. The cost of long-term care for aging loved ones and people with disabilities rose 40% in the last decade. It’s amazing. Think about it.”

Home Care 59

Home Care Medicaid Nursing Regulations 59

Home Health Care

APRIL 12, 2024

In past years, Medicare-certified home health agencies and Medicaid personal care services providers have been big focus areas for government watchdogs. While there’s still plenty of oversight, the spotlight on home health and personal care providers appears to have dimmed somewhat. billion in claims.

Medicaid 88

Medicaid Medicare Home Care Regulations 88

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. The heightened attention on personal care services leads to necessary sophistication, oversight and regulation.

Medicaid 69

Medicaid Regulations Accountability Medicare 69

Sheppard Health Law

FEBRUARY 3, 2023

New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R. 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]

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Medicaid Regulations Prevention Accountability 52