Here We Go Again
Clinical by Tim Rowan, Editor Emeritus OIG Accuses Medicare Advantage Providers of Padding Patient Assessments...Again “Hello, this is your Medicare Advantage company calling. I am one of their clinicians and it is time for us to update your health assessment. If you...2025 Final Rule
Advocacy by Kristin Rowan, Editor CMS Releases Home Health Final Rule 2025 Last week, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) final rule. Included in the final rule are updates...End of an Era
Advocacy by Kristin Rowan, Editor NAHC President Bill Dombi Retires Earlier this year, with the announcement of the merging of NAHC and NHPCO, Bill Dombi announced his retirement from his position as President of the Association. Shortly after that announcement, The Rowan...UnitedHealth Study: Is Medicare Advantage Killing Seniors
CMS by Tim Rowan, Editor Emeritus Is Medicare Advantage Killing Us? Dr. Steve Landers has long been eloquent in his speaking and writing about the importance of Home Health over the years. Though I was already impressed, I gained a new level of respect this week....An Interview with Dr. Steven Landers, Part 2
Advocacy by Kristin Rowan, Editor Medicare Advantage is Killing Us...Literally This is part 2 of 2 in the interview with Dr. Steven Landers. You can read part 1 here. Medicare Advantage article by Dr. Landers Earlier this week, Dr. Landers published an article in the NAHC...UnitedHealth Group Sees Q3 Growth
CMS by Kristin Rowan, Editor UnitedHealth Group Earnings Show Strong Q3 Revenue Growth For most of 2024, and even going back into 2023, The Rowan Report has written about UnitedHealth Group and its acquisitions, its over diagnosing patients for financial gain, its...Patient Preference by Race or Nationality
Admin This article provides updated information about a discrimination case filed against a home care agency by the EEOC. The Rowan Report published the initial press release and article last year. by Elizabeth E. Hogue, Esq. What to do When Patients Don't Want Caregivers...CMS Ransomware Attack: Breach of PII
Admin by Kristin Rowan, Editor CMS Ransomware Attack In mid-2023, a planned file transfer went awry when Clop claimed to have breached hundreds of companies that they later listed on a data leak site. Among the companies listed were Shell, UnitedHealthcare Student...Another One Bites the Dust
CMS by Kristin Rowan, Editor Essentia Drops Medicare Advantage Essentia Health is an integrated health system with locations in Minnesota, North Dakota and Wisconsin. The health system offers 285 different services across more than 1,700 locations. They employ more than...Hospice Fraud Oversight
Admin by Kristin Rowan, Editor CMS Oversight in Fraud-Ridden States In 2023, The Centers for Medicare and Medicaid Services (CMS) cited research suggesting that hospices profit from fraud far too often. CMS has identified cases of hospices certifying benficiaries who are...More Rural Providers Say ‘No’ to MA
Artificial Intelligence by Tim Rowan, Editor Emeritus O ne just does not know whom to believe anymore. This week, we were sent three opinions of the pros and cons of Medicare Advantage programs. One says they reduce costs and improve patient satisfaction for rural residents. Another says...HHVBP Model Payments Begin January 1, 2025
Admin by Kristin Rowan, Editor Background on the HHVBP Model The Home Health Value Based Purchasing (HHVBP) Model, implemented by CMS in 2016, began in nine states. The goal is “to provide incentives for better quality care, to study new quality and efficiency...Medicare Advantage Predatory Marketing
CMS by Kristin Rowan, Editor Leading Associations Attempt to Curb Medicare Advantage Marketing Practices that Prey on the Unsuspecting For some time now, we’ve been reporting on the marketing practices that Medicare Advantage uses to lure new members. And,...NAHC NHPCO Town Hall
Advocacy by Kristin Rowan, Editor The Alliance On June 18, 2024, the National Association for Home Care & Hospice (NAHC) and the National Hospice and Palliative Care Organization (NHPCO) announced they had met in Washington D.C. to formally sign an affiliation agreement...
