Latest News
The most recent news, announcements, and regulatory updates for home health, hospice, and supportive care at home
Video CEO Interviews
Stark Law
by Elizabeth E. Hogue, Esq. – Stark Law prohibits physicians from making referrals to providers who render “designated health services” (DHS) if referring physicians have an ownership or investment interest in or compensation arrangement with the provider.
Justice Department’s Next Target
by Kristin Rowan, Editor – The Department of Justice, with VP Vance and Dr. Oz are cracking down on fraud in Medicaid, suing New York State and the company managing its directed care program, one of the largest benefit programs in the state.
Response to HHS Reports
From Leading Age, the Post-Acute Care Coalition responds to OIG reports confirming barriers to post-acute care in Medicare Advantage.
Fraud in Hospice
by Elizabeth E. Hogue, Esq. – The fraud crackdown in hospice has begun and is overdue. The efforts are necessary, but may negatively impact the hospice industry.
Solutions Provider Expands Home Health Footprint
by Kristin Rowan, Editor – You may not have heard of LivTech, but you should be familiar with some of their solutions. The solutions provider expands its footprint in home health and hospice with the acquisition of Alora Healthcare Systems.
Fight Loss of Rural Veteran Care: An Interview with Angelo Spinola
by Kristin Rowan, Editor – The U.S. Department of Veteran Affairs arbitrarily and unlawfully cut rural home health aide and homemaker rates by 43% in Texas and 20% in New Mexico without notice or comment. Polsinelli law firm is fighting back and needs you to join the coalition.
Alliance Responds to CMS
For Immediate Release – The National Alliance for Care at Home responds to the CMS 6-month Medicare Moratoria on all new enrollment for providers of hospice and home health as part of its ongoing investigations and prevention of waste, fraud, and abuse
Medicare Moratoria
by Kristin Rowan, Editor – CMS announces a 6-month Medicare moratoria on all new enrollments for providers in home health and hospice as part of its ongoing effort to curb waste, fraud, and abuse and to protect Medicare beneficiaries and taxpayers.
Private Payors Against Fraud
by Elizabeth E. Hogue, Esq. – The federal government isn’t the only one cracking down on fraudulent payments in home health and hospice. Providers need to be aware that private payors can report fraud and a provider may find themselves fighting criminal charges against private payors.
Medicaid Reform
by Kristin Rowan, Editor – In an effort to stop fraud and abuse before it happens, Representative David Schweikert introduced a new bill in the House for Medicaid Reform. The Combating Deceptive Practices in Assistance Programs Act adds oversight and guardrails to Medicaid recipients applying for the home health care waiver.
Idaho Approves $22M Cut
by Kristin Rowan, Editor- Idaho Governor Brad Little approved nearly $22 million in Medicaid cuts for disability services. HHAeXchange president Stephen Vaccaro responds.
California Hospice Fraud
by Kristin Rowan, Editor – California Hospice Fraud under scrutiny as Attorney General and Federal anti-fraud task force separately investigate allegations, uncover fraud schemes, suspend licenses, and make multiple arrests.
Accountability and Sustainability in Medicare Advantage
by Kristin Rowan, Editor – CMS publishes Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program. Plans to see higher rebates, beneficiaries to see higher deductibles and maximum out-of-pocket costs.
Worthy is Worthy of Consideration
by Kristin Rowan, Editor – Worthy, the healthcare reform proposal, pushes industry leaders to put patients in front of profits, use AI responsibly, create national standards for digital health records, eliminate pharmacy benefit managers, and put patients in front of profits.
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