Injunctions Overturned
CMS by Kristin Rowan, Editor District Court Injunctions Overturned Agencies to resume layoffs. The now infamous “Memo” from the Office of Management and Budget and the Office of Personnel Management instructed agency leaders to cut their workforce as part of...Fraud, Waste, and Abuse
Clinical by Kristin Rowan, Editor Fraud, Waste, and Abuse DOJ, HHS False Claims Act Fraud, Waste, and Abuse has become something of a mantra within the Department of Health and Human Services (HHS). Secretary Kennedy has committed to combatting fraud, waste, and abuse within...Planned Parenthood Cut Halted
CMS by Kristin Rowan, Editor Part of Big Beautiful Bill Halted Medicaid Cuts to Planned Parenthood Blocked The tax and immigration bill, dubbed “One Big Beautiful Bill,” signed by President Trump on July 4th, included removing all Medicaid payments to any...CMS Home Health Proposed Rule 2026
Advocacy by Kristin Rowan, Editor CMS Home Health Proposed Rule 2026 June 30th, 2025, the Centers for Medicare & Medicaid Services issued its proposed rule with updates to Medicare payment policies and rates for home health agencies under the Home Health Prospective...Bill Cuts Medicaid Directly, Medicare Indirectly
Admin by Tim Rowan, Editor Emeritus Bill Cuts Medicaid Directly, Medicare Indirectly This is what online publishers call a “living article.” With the House and Senate passing different bills, progress toward the President’s desk changes by the hour. What...Medicaid Cuts Update: Meet the Senate Parliamentarian
Admin by Tim Rowan, Editor Emeritus Medicaid Cuts Update Senate Parliamentarian Elizabeth MacDonough The ongoing negotiations in Congress will impact Medicaid and Medicare. There has been little movement from the Senate since we reported on this last week, but here’s...Medicaid Cuts Still Looming
Clinical by Tim Rowan, Editor Emeritus Medicaid Cuts Looming Terminal Prognosis Let me tell you about my brother. In his early 30’s, Tom was diagnosed with a rare disorder, one of the 25 versions of Ataxia. A disorder that is sometimes genetic, sometimes of unknown...The Alliance Responds
Advocacy 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....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...
