GUIDE Model Expanding
Clinical by Kristin Rowan, Editor GUIDE Launched with 390 Participants On July 1, 204, CMS launched the GUIDE Model and announced that 390 organizations had signed on to participate. The Guiding an Improved Dementia Experience (GUIDE) Model is a voluntary model test amied at...Medicare Advantage Increase for Payers, not Providers
Artificial Intelligence by Kristin Rowan, Editor CMS Announces Medicare Advantage Pay Hike On January 13, 2025, CMS announced its plans to increase payments to Medicare Advantage plans by 4.33%. Policy changes for Medicare Advantage and Part D include changes in how the agency calculates...Threats to Your Business
Editorial by Tim Rowan, Editor Emeritus Threats to Your Business Two seemingly unrelated news items jumped out at me that could be threats to your business while I was away tending to funeral preparations for my brother’s wife. Before I analyze those reports, please...Perfect Storm
Admin by Hannah Vale, CMO HealthRev Partners Care at Home Industry Faces Perfect Storm Industry Challenges in 2025 The care at home industry is grappling with an unprecedented crisis as staffing shortages, technological hurdles, and complex reimbursement models converge to...Impact of H.R. 1: The Homebound and Overlooked
Medicaid Analysis by Tim Rowan, Editor Emeritus The Impact of H.R. 1 Homebound and Overlooked In early 2025, the Republican-led Congress introduced its proposed budget for FY2026 and beyond, a sweeping legislative effort aimed at curbing federal expenditures and restructuring...Imposter Clinicians
Clinical by Elizabeth E. Hogue, Esq. Imposter Clinicians Although it is relatively rare, there are individuals who impersonate clinicians! Imposters will inevitably slip through the cracks despite concerted efforts by providers. The First Offense For example, Thomasina...Overtime Ruling Upheld
Legal by Kristin Rowan, Editor Ruling Upheld Agencies must pay minimum wage and overtime A District Court of Pennsylvania ruled in favor of the Secretary of Labor against the WiCare Home Care Agency. The parties engaged in a lawsuit alleging the agency failed to pay minimum...
