Poor Joe is Out of A Job
CMS by Tim Rowan, Editor Emeritus We have been keeping an eye on the Medicare Advantage business as the number of beneficiaries who switch exceeds fifty percent. In past reports, we have described the federal lawsuits that accuse MA insurance companies of illicitly...The Future of Care at Home
Admin by Kristin Rowan, Editor Home Nurses are joining unions. The advent and unionization of Hospital-at-Home (H@H) is changing the care at home landscape. Large hospital systems across the country have engaged in H@H studies and launched H@H programs, providing...BREAKING NEWS – CMS Proposed Rule for 2025
CMS by Kristin Rowan, Editor CMS Proposed Rule for 2025 Citing “budget neutrality adjustments”, the Centers for Medicare & Medicaid Services (CMS) June 26 issued its proposed rule for 2025 for the home health prospective payment system. Here are the...NAHC and NHPCO Sign Affiliation Agreement
Admin by Kristin Rowan, Editor BREAKING NEWS In a joint statement on June 18, 2024, NAHC and NHPCO announced that the Board Chairs and CEOs of each organization met in Washington. During this meeting, they formally signed the affiliation agreement. This is a union of the...Preventing Violence: More Action Items
Admin By Elizabeth E. Hogue, Esq. Violence in Healthcare According to a recent analysis of Bureau of Labor Statistics data, healthcare is one of the most dangerous places to work. Homecare field staff members who provide services on behalf of private duty agencies,...The Future of NAHC: An Interview with Bill Dombi
Admin by Kristin Rowan, Editor NAHC President Bill Dombi announced at last week’s CAHSAH annual meeting and expo that he would end his tenure at NAHC and retire at the end of 2024. We reached had an interview with Dombi on Thursday, May 23rd. He said he was not...Bill Dombi Spring Tour has two Major Announcements
Admin by Tim Rowan, Editor Emeritus For the last time, NAHC President Bill Dombi is spending another Spring on airplanes. It is state association meeting season, and the Bill Dombi Spring Tour has been bringing his regular Capitol Hill update from coast to coast, this time...The Wrong Way to Use AI in Healthcare
Admin by Tim Rowan, Editor Emeritus Lawsuits are beginning to pile up against insurance companies participating in the Medicare Advantage program. The complaint? The wrong way to use AI in healthcare is with faulty algorithms to approve or deny claims. While AI can be...Understanding Differences in Medicare Policy and Conditions of Participation
Admin by Johnathan Eaves, Senior Director of Communications, Axxess Treating Medicare patients comes with a level of nuance that is important to understand to ensure that organizations remain compliant and patients receive appropriate care. Standards for quality care and...80/20 Finalized Rule
CMS by Kristin Rowan, Editor The Centers for Medicare and Medicaid Services (CMS) has finalized the “Ensuring Access to Medicaid Services” rule, more commonly known as the 80/20 rule. The 80/20 finalized rule requires at least 80% of Medicaid payments for home...HOPE is on the Way: Part 3
CMS By Beth Noyce, RN, BSJMC, BCHH-C, COQS CHAP-certified home health & hospice consultant This is part 3 of the 3 in the series, outlining the discussions and implications in adopting new outcome and process measures for Hospice care. The final segment addresses...HOPE is on the Way: Part 2 – Process Measures
Clinical by Beth Noyce, RN, BSJMC, HCS-C, BCHH-C, COQS CHAP-certified home health & hospice consultant Process Measures The outcome measures being considered look at effectiveness of hospice clinical efforts to decrease pain and other symptoms. The process measures paired...Adding Insult to Injury: Change Healthcare Attacked Again
Admin by Kristin Rowan, Editor For a few weeks now, we have been covering the Change Healthcare cyberattack by ALPHV/BlackCat and the subsequent updates from CMS. Pharmacy and medical orders have been delayed, providers and patients are suffering, and CMS has issued...HOPE is on the Way: Part 1 – Outcome Measures
Clinical By Beth Noyce, RN, BSJMC, HCS-C, BCHH-C, COQS Home health & hospice consultant The Hospice Outcome Patient Evaluation is a step closer to implementation. After four years of considering options, the Technical Expert Panel (TEP) has finished its work that will...
