The Rowan Report

Latest News

The most recent news, announcements, and regulatory updates for home health, hospice, and supportive care at home

Home Health & Hospice

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Death of ALF Resident

by Kristin Rowan, Editor – The family of 85-year-old assisted living facility resident Robert Pollmann filed a wrongful death suit against ALF owners Levi and Holly Walker after the resident wandered out of the facility, was unnoticed for 40 minutes, and was found dead two days later of heat exposure.

LEAD Replaces REACH

By Kristin Rowan, Editor – CMS has announced that it will replace the current ACO Reach Model with the new LEAD Model beginning in January of 2027. The new model aims to improve participation among hospice and palliative care agencies and patients. Registration for Participation begins in March, 2026.

Overtime Ruling Upheld

by Kristin Rowan, Editor – a court of appeals has upheld a ruling that a home care agency in Pennsylvania violated the FLSA when it failed to pay minimum wage and overtime wages to its caregivers. Despite the agency’s arguments to the contrary, the court of appeals upheld the earlier ruling that the DOL can interpret the FLSA statutes.

House Passes Health Care Reform Bill

by Kristin Rowan, Editor- Today the House of Representatives passed a bill to reform health care, including changes to PBM and Association Health Plans, but excludes any mention of the extension of the ACA subsidies.

Subsidies Undecided

by Kristin Rowan, Editor – If Senate leaders cannot come together to solve the ACA subsidies issue before next week, insurance rates will skyrocket. If they can’t solve it by January 31st, the government may shut down…again.

MedPAC Proposes Drastic Cut

by Kristin Rowan, Editor – After multiple years of rate adjustments, temporary cuts, and permanent cuts, home health reimbursement rates are low, but still supporting the negative margins of Medicare Advantage. Now, MedPAC wants to cut that margin to less than 0%.

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