Clinical
by Kristin Rowan | Mar 7, 2025 | Clinical, Hospice, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Palliative Care for Medicare Advantage Members Cancer is one of the highest leading causes of death in the United States, second only to heart disease. The challenges for cancer patients are not only physical, but emotional and financial as...
Clinical
by Kristin Rowan | Mar 7, 2025 | Clinical, CMS, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Easier Access to Home Health Prior authorization requirements can be cumbersome, delaying or even preventing care in some cases. Patients who need prior authorization to get he care they need also generally have form after form to fill out or...
Admin
by Rowan Report | Feb 20, 2025 | Admin, Regulatory
by Lynn Labarta, SimiTree Reduce Insurance Claim Denials 2025 Guide for Home Health and Hospice Agencies Is your home health or hospice agency struggling with insurance claim denials? You’re in good company. As we move into 2025, claim denials remain the #1 challenge...
Admin
by Rowan Report | Feb 20, 2025 | Admin, Clinical, CMS, Regulatory
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...
Editorial
by Tim Rowan | Feb 14, 2025 | Editorial, Regulatory
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...
Clinical
by Elizabeth E. Hogue, Esq. | Feb 14, 2025 | Clinical, Medicare Advantage, Regulatory
by Elizabeth E. Hogue, Esq. Treatment in Place Providers of services to patients in their homes are anecdotally familiar with situations in which patients need help at home, but do not qualify for home health services and have not arranged for or are unable to afford...
CMS
by Kristin Rowan | Jan 16, 2025 | CMS, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Whistleblower Action A United States District Court in Tampa, Florida ruled against a whistleblower action under the False Claims Act (FCA) against her former employer. In 2019, a family care physician filed a whistleblower, or qui tam, action...
by Tim Rowan | Dec 21, 2024
by Tim Rowan, Editor Emeritus UnitedHealth Making Home Health Visits Payer or Competitor…that is the question. According to a report in the Wall Street Journal, and questioned by the insurance industry’s lobbying arm, AHIP, UnitedHealth Group has increased...
Admin
by Tim Rowan | Dec 6, 2024 | Admin, Advocacy, Breaking News, CMS, Hospice, Medicare Advantage
by Tim Rowan, Editor Emeritus Mehmet Oz, MD, MBA is the CMS Administrator nominee in the new administration that assumes power on January 20. A popular TV personality and former gubernatorial candidate, the public side of Dr. Oz is well known, but the details of his...
CMS
by Kristin Rowan | Nov 15, 2024 | CMS, M&A, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Justice Department Sues In September of 2023, UnitedHealth Group made a bid to purchase Amedysis. That acquisition has been under scrutiny since last year. When the bid was announced, the Department of Justice began an inquiry, asking for...
