Category: Centers for Medicare & Medicaid Services (CMS)

‘This Is the Biggest Break We’ve Had’: CMS Makes Major Alteration to Review Choice Demonstration

Centers for Medicare & Medicaid Services (CMS), CMS, Home Care Association of Florida, Home Health Care, Legislation / August 26, 2021 August 26, 2021

The U.S. Centers for Medicare & Medicaid Services (CMS) has made a major update to the Review Choice Demonstration (RCD), one that home health providers will undoubtedly be thrilled about. On Sept. 1, agencies in Florida and North Carolina are set to roll out RCD. One of the major complaints as the date loomed was …

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‘It’s Inherently Unfair’: Home Health Stakeholders Slam Portions of the Proposed Payment Rule

Centers for Medicare & Medicaid Services (CMS), CMS, Legislation, Trinity Health at Home / August 26, 2021 August 26, 2021

The U.S. Centers for Medicare and Medicaid Services’ (CMS) proposed home health payment rule came out in late June. The public comment period closes Friday, which means providers are running out of time to voice their concerns. Overall, providers seem to be generally happy about the proposed rule, which includes a 1.7% — or $310 …

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Humana Set Up to Be Largest Home-Based Care Provider Approved for Direct Contracting

Centers for Medicare & Medicaid Services (CMS), CMS, CMS Innovation Center, Home Health Care, Humana Inc. / May 5, 2021 May 5, 2021

Once its 100% acquisition of Kindred at Home is finalized, Humana Inc. (NYSE: HUM) believes it will become one of the premier home health care providers in the entire country. It certainly has the resources to be just that. That’s partly because the payer-provider hybrid is also directly contracting with traditional Medicare through the Global …

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Pause to Alternative Payment Models Gives Some Providers a ‘Golden Ticket,’ Leaves Others Behind

ATI Advisory, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services (CMS), CMS, Featured, Legislation, Lifesprk / April 20, 2021 April 20, 2021

The Global and Professional Direct Contracting Model — a Center for Medicare & Medicaid Innovation (CMMI) creation — has been put on pause. The holdup is just another example of CMMI pumping the brakes on an alternative payment model in the days since the new Biden administration took over the executive branch. Broadly, the Global …

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CMS Announces New, More Provider-Friendly Rules for Advanced and Accelerated Loan Repayment

Centers for Medicare & Medicaid Services (CMS), Foley & Lardner LLP, Legislation / October 8, 2020 October 8, 2020

The U.S. Centers for Medicare & Medicaid Services (CMS) announced amended terms Thursday for accelerated and advanced payments granted to Medicare-certified health care providers — including home health agencies — during the public health emergency. Under the new “Continuing Appropriations Act” of 2021 and “Other Extensions Act,” repayment for providers will now begin one year …

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Why the Proposed Medicare Rate Increase for 2021 Is ‘No Cause for Celebration’

BJC Home Care, Centers for Medicare & Medicaid Services (CMS), Medicare, MedPAC, NAHC / July 30, 2020 July 30, 2020

Home health providers have experienced varying degrees of disruption to their business models over the past dozen or so years, from the Patient Driven Groupings Model (PDGM) to smaller regulatory changes. But at the end of the day, the cost of doing business has gone up. And reimbursement levels don’t reflect that, according to Mark …

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‘An Absolute Travesty’: Home Health Advocates Make Last-Ditch Effort to Delay Review Choice Demonstration

Association for Home & Hospice Care of North Carolina, Centers for Medicare & Medicaid Services (CMS), CMS, Featured, Home Care Association of Florida / July 27, 2020 July 27, 2020

When the U.S. Centers for Medicare & Medicaid Services (CMS) announced that the Review Choice Demonstration (RCD) would resume for participating states in August, home-based care providers and advocates were up in arms over the decision. But as the resumption date approaches, industry advocates are making a last-ditch effort to get CMS’s attention and persuade …

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