LEAD Replaces REACH

CMS by Kristin Rowan, Editor LEAD Replaces REACH CMS Launches 10-Year Model Test LEAD replaces REACH in new 10-year CMS model. The Long-term Enhanced ACO Design (LEAD) model is scheduled to launched at the end of 2026, following the end of ACO Realizing Equity, Access,...

MedPAC Proposes Drastic Cut

Clinical by Kristin Rowan, Editor MedPAC Proposes Drastic Cuts Five Year Decrease Not Enough The onset of PDGM and the recalculations of payments in 2020 have led to an overall decrease in Medicare reimbursement rates for home health by approximately 12%. CMS continues to...

Feedback Adjusts Final Rule

CMS FOR IMMEDIATE RELEASE November 28, 2025 Contact:                                                        Hannah Kristancommunications@allianceforcareathome.org202-355-1647 National Alliance for Care at Home: CMS Modifies Final Payment Rule Based on Stakeholder...

Appeals Court Filing

Advocacy by Kristin Rowan, Editor Appeals Court Filing Hospice ALJ A hospice claim may fall under review either before or after the claim has been paid. A hospice agency with a denied claim must file appeals until the claim is approved or the appeals are exhausted. First, they...