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...
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...
by Tim Rowan | Nov 8, 2024 | Clinical, CMS, Editorial, Medicare Advantage, Regulatory
by Tim Rowan, Editor Emeritus OIG Accuses Medicare Advantage Providers of Padding Patient Assessments...Again “Hello, this is your Medicare Advantage company calling. I am one of their clinicians and it is time for us to update your health assessment. If you...
by Tim Rowan | Nov 8, 2024 | Admin, Editorial, M&A, Regulatory
by Tim Rowan, Editor Emeritus Hospitals Divesting Home Health Departments Is this an early omen of two related trends? A number of hospitals are divesting their home health departments, while large health insurance companies are swallowing up large home health...
by Kristin Rowan | Nov 8, 2024 | Advocacy, CMS, Regulatory
by Kristin Rowan, Editor CMS Releases Home Health Final Rule 2025 Last week, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) final rule. Included in the final rule are updates...
by Kristin Rowan | Oct 25, 2024 | Admin, Advocacy, Regulatory
by Kristin Rowan, Editor Alliance CEO Landers For more than a year now, The Rowan Report has been providing updates on the merger between the National Hospice and Palliative Care Organization (NHPCO) and the National Association for Home Care & Hospice (NAHC)....
by Kristin Rowan | Sep 27, 2024 | Admin, Breaking News, CMS, Regulatory
by Kristin Rowan, Editor CMS Ransomware Attack In mid-2023, a planned file transfer went awry when Clop claimed to have breached hundreds of companies that they later listed on a data leak site. Among the companies listed were Shell, UnitedHealthcare Student...
by Kristin Rowan | Sep 20, 2024 | CMS, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Essentia Drops Medicare Advantage Essentia Health is an integrated health system with locations in Minnesota, North Dakota and Wisconsin. The health system offers 285 different services across more than 1,700 locations. They employ more than...
by Kristin Rowan | Sep 12, 2024 | Admin, CMS, Hospice, Regulatory
by Kristin Rowan, Editor CMS Oversight in Fraud-Ridden States In 2023, The Centers for Medicare and Medicaid Services (CMS) cited research suggesting that hospices profit from fraud far too often. CMS has identified cases of hospices certifying benficiaries who are...
by Kristin Rowan | Aug 23, 2024 | Admin, CMS, Regulatory
by Kristin Rowan, Editor Background on the HHVBP Model The Home Health Value Based Purchasing (HHVBP) Model, implemented by CMS in 2016, began in nine states. The goal is “to provide incentives for better quality care, to study new quality and efficiency...
