UnitedHealth Bribes Nurses
Medicaid 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...BREAKING NEWS: Intrepid USA Files Bankruptcy
Breaking News 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...Fraudsters Arrested, Oz Issues Warning
CMS 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...Delay HOPE Tool
Advocacy 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...Medicare Advantage Audits
CMS 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...BREAKING NEWS: House Passes Bill
Breaking News 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...Trouble in MA Paradise?
Advocacy 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...Medicaid Cuts Remain Unknown So Far
CMS by Tim Rowan, Editor Emeritus "Life and Death" Medicaid Cuts are Looming We don’t need to cut benefits, and it really infuriates me to hear people here talking about that because it stresses people out. This is life and death for them. –Senator Bernie Moreno...Vision for CMS
CMS 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...Industry Update
Admin by Kristin Rowan, Editor Industry Update with Dr. Steve Landers At last week’s New England Home Care & Hospice Conference, Dr. Steve Landers, President of The National Alliance for Care at Home (The Alliance) gave the keynote address and offered some...That’s a No-No
Admin by Elizabeth E. Hogue, Esq. No-no # 1 “No-No” may seem like something you would say to a toddler, but there is a list of things agency owners do that they should not do. Many of these are things providers may not often consider. This article focuses on the...Mass Layoffs in HHS “Overhaul”
CMS by Kristin Rowan, Editor Mass Layoffs at HHS HHS Secretary Robert F. Kennedy Jr. announced more than 10,000 position cuts within the department this week. The layoffs impact employees at the FDA, the CDC, the National Institute for Occupational Safety and Health, and...CDPAP Overhaul Under Scrutiny
Medicaid by Kristin Rowan, Editor CDPAP Overhaul in NY Medicaid Program New York State Department of Health issued a comprehensive plan to overhaul the state’s Medicaid program. The state’s program, Consumer Directed Personal Assistance Program (CDPAP), allows...Relief for Providers
Admin by Elizabeth E. Hogue, Esq. Relief for Providers from Devastating Penalties? A judge in the Northern District of Texas recently decided that even the minimum penalties mandated under the False Claims Act (FCA) violate the Eighth Amendment’s Excessive Fines Clause...
