by Kristin Rowan | Jun 13, 2025 | Advocacy, CMS, Hospice
by Kristin Rowan, Editor The Alliance Responds to CMS Hospice Update The Alliance responds to CMS-1835-P, the FY 2026 Hospice Wage Index, Conditions of Participation, and Quality Reporting Program Requirements updates. On June 10, 2025, in a 25 page letter to Dr....
by Kristin Rowan | Jun 13, 2025 | Medicaid, Medicare, Medicare Advantage, Other Sites, Regulatory
United Health Bribery Update In the weeks since the below article revealed allegations against UnitedHealth, members of Congress are calling for action. At least one US Senator and two Representatives are engaged in the allegations. Senator Wyden (D-OR) announced that...
by Kristin Rowan | Jun 6, 2025 | Breaking News, Home Health, Hospice, Legal, M&A, Medicaid, Medicare
by Kristin Rowan, Editor *Editor’s note: This article has been updated to remove inaccurate information from the Intrepid USA website. Intrepid USA Files Bankruptcy Intrepid USA, once among the largest providers of home health and hospice services, files...
by Kristin Rowan | Jun 6, 2025 | CMS, Hospice, Medicaid, Medicare, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Fraudsters Arrested, Oz Issues Warning Fraud in California Fraudsters arrested in West Covina, CA this week were allegedly running a Medicare scheme. Authorities arrested hospice owner-operator Normita Sierra. They charged her with nine counts...
by Kristin Rowan | Jun 6, 2025 | Advocacy, CMS, Hospice, Regulatory
by Kristin Rowan, Editor Advocacy Groups to CMS: Delay HOPE Tool Implementation “Delay HOPE Tool Implementation,” say multiple hospice advocacy groups. LeadingAge, the National Alliance for Care at Home (The Alliance), and the National Partnership for...
by Kristin Rowan | May 29, 2025 | Artificial Intelligence, Interoperability, Regulatory
by Kristin Rowan, Editor Access to Patient Data Tighter than Fort Knox Access to patient data has always been tricky, even for the patient. Every doctor’s office, hospital, urgent care center, home health agency, and nursing facility uses their own system to...
by Kristin Rowan | May 29, 2025 | CMS, Medicare, Medicare Advantage, Regulatory
by Kristin Rowan, Editor CMS Strategy for Medicare Advantage Audits Last week, The Centers for Medicare and Medicaid Services (CMS) rolled out a new, aggressive strategy to enhance and accelerate Medicare Advantage Audits under RADV. CMS will audit all eligible MA...
by Kristin Rowan | May 23, 2025 | Breaking News, Medicaid, Regulatory
by Kristin Rowan, Editor House Passes Bill House passes bill in early-morning vote. The House of Representatives, predictably split along party lines, passed the “Big, Beautiful Bill” in a 215-214 narrow win. All but three Republican representatives...
by Kristin Rowan | May 23, 2025 | Regulatory
by Kristin Rowan, Editor Pushback on Trump Initiatives From All Sides Pushback on Trump initiatives, including the steep cuts to Medicare, Medicaid, Social Security, and VA benefits erupted this week. Coalitions, associations, and members of Congress seek to stop the...
by Kristin Rowan | May 16, 2025 | M&A, Regulatory
by Kristin Rowan, Editor DOJ Rejects Plan to Divest Assets DOJ rejects plans to divest assets from UnitedHealth and Amedisys to BrightSpring Health Services and the Pennant Group. Last week, we reported that Amedisys and UnitedHealth had entered an agreement to divest...