Category: Centers for Medicare & Medicaid Services (CMS)
The U.S. Centers for Medicare & Medicaid Services (CMS) released its FY 2023 home health proposed payment rule late Friday. It comes with a decrease to payment rates by 4.2%, or $810 million less compared to 2022 rates. Overall, the proposed rule looks to be one that will be disappointing to providers, and one they […]
One of the most important Centers for Medicare & Medicaid Services (CMS) leaders – Dr. Meena Seshamani – is very optimistic about the future of the home health care industry. She detailed why last month at Home Health Care News’ Capital+Strategy event, pointing to more and more care taking place outside of traditional facilities, emerging […]
The U.S. Centers for Medicare & Medicaid Services (CMS) announced Thursday it will distribute more than $110 million to expand access to home- and community-based services (HCBS) through Medicaid’s Money Follows the Person (MFP) program. The MFP demonstration began in 2007 and was funded by the Affordable Care Act through 2016. The goal of the […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]