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...
by Kristin Rowan | May 16, 2025 | Breaking News
by Kristin Rowan, Editor Breaking News: UnitedHealth Group CEO Andrew Witty Steps Down Citing “personal reasons” with no elaboration, UnitedHealth Group CEO Andrew Witty steps down from his position, effective immediately. Witty joined UnitedHealth Group...
by Kristin Rowan | May 9, 2025 | Partner News
FOR IMMEDIATE RELEASE Contact: press@empathhealth.orgEmpathHealth.org Empath Health Introduces One Hospice Model, Bringing Together Florida's Established Not-for-Profit Hospices Under One Mission CLearwater, FL, May 5, 2025. Empath Health, one of the nation’s...
by Kristin Rowan | May 9, 2025 | M&A
by Kristin Rowan, Editor UnitedHealth, Amedisys to Divest Home Health & Hospice...Again History UnitedHealth, Amedisys to divest home health and hospice properties to satisfy DOJ. Almost two years ago, the health services division of UnitedHealth Group, Optum,...
by Kristin Rowan | May 1, 2025 | Hospice, Regulatory
by Kristin Rowan, Editor Updates to Hospice Rule On April 11, 2025, the Centers for Medicare and Medicaid Services (CMS) issued their proposed rule for hospice rates, Conditions of Participation (CoPs) and face-t0-face encounter requirements for FY 2026. The proposed...
by Kristin Rowan | May 1, 2025 | Advocacy, CMS, Editorial, Medicaid, Medicare, Medicare Advantage
by Kristin Rowan, Editor Medicare Advantage It’s no secret within the care at home community that Medicare Advantage is not without its problems. Coverage and care are good when the beneficiary is relatively healthy. When it’s really needed, MA plans deny...
by Kristin Rowan | Apr 24, 2025 | CMS, Medicaid, Medicare, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Vision for CMS from Dr. Oz Last week, Dr. Mehmet Oz issued a statement on his vision for the future of CMS. Dr. Mehmet Oz is a cardiothoracic surgeon and former host of his own TV show. Under the Department of Health and Human Services, CMS...
