by Tim Rowan | Jun 20, 2025 | Clinical, Medicaid, Regulatory
by Tim Rowan, Editor Emeritus Medicaid Cuts Looming Terminal Prognosis Let me tell you about my brother. In his early 30’s, Tom was diagnosed with a rare disorder, one of the 25 versions of Ataxia. A disorder that is sometimes genetic, sometimes of unknown...
by Kristin Rowan | Jun 13, 2025 | Advocacy, CMS, Hospice
by Kristin Rowan, Editor The Alliance Responds to CMS Hospice Update The Alliance responds to CMS-1835-P, the FY 2026 Hospice Wage Index, Conditions of Participation, and Quality Reporting Program Requirements updates. On June 10, 2025, in a 25 page letter to Dr....
by Kristin Rowan | Jun 6, 2025 | CMS, Hospice, Medicaid, Medicare, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Fraudsters Arrested, Oz Issues Warning Fraud in California Fraudsters arrested in West Covina, CA this week were allegedly running a Medicare scheme. Authorities arrested hospice owner-operator Normita Sierra. They charged her with nine counts...
by Kristin Rowan | Jun 6, 2025 | Advocacy, CMS, Hospice, Regulatory
by Kristin Rowan, Editor Advocacy Groups to CMS: Delay HOPE Tool Implementation “Delay HOPE Tool Implementation,” say multiple hospice advocacy groups. LeadingAge, the National Alliance for Care at Home (The Alliance), and the National Partnership for...
by Kristin Rowan | May 29, 2025 | CMS, Medicare, Medicare Advantage, Regulatory
by Kristin Rowan, Editor CMS Strategy for Medicare Advantage Audits Last week, The Centers for Medicare and Medicaid Services (CMS) rolled out a new, aggressive strategy to enhance and accelerate Medicare Advantage Audits under RADV. CMS will audit all eligible MA...
by Kristin Rowan | May 1, 2025 | Hospice, Regulatory
by Kristin Rowan, Editor Updates to Hospice Rule On April 11, 2025, the Centers for Medicare and Medicaid Services (CMS) issued their proposed rule for hospice rates, Conditions of Participation (CoPs) and face-t0-face encounter requirements for FY 2026. The proposed...
by Kristin Rowan | May 1, 2025 | Advocacy, CMS, Editorial, Medicaid, Medicare, Medicare Advantage
by Kristin Rowan, Editor Medicare Advantage It’s no secret within the care at home community that Medicare Advantage is not without its problems. Coverage and care are good when the beneficiary is relatively healthy. When it’s really needed, MA plans deny...
by Kristin Rowan | Apr 24, 2025 | CMS, Medicaid, Medicare, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Vision for CMS from Dr. Oz Last week, Dr. Mehmet Oz issued a statement on his vision for the future of CMS. Dr. Mehmet Oz is a cardiothoracic surgeon and former host of his own TV show. Under the Department of Health and Human Services, CMS...
by Kristin Rowan | Apr 11, 2025 | CMS, Regulatory
by Kristin Rowan, Editor Mass Layoffs at HHS HHS Secretary Robert F. Kennedy Jr. announced more than 10,000 position cuts within the department this week. The layoffs impact employees at the FDA, the CDC, the National Institute for Occupational Safety and Health, and...
by Kristin Rowan | Apr 11, 2025 | Medicaid, Regulatory
by Kristin Rowan, Editor CDPAP Overhaul in NY Medicaid Program New York State Department of Health issued a comprehensive plan to overhaul the state’s Medicaid program. The state’s program, Consumer Directed Personal Assistance Program (CDPAP), allows...
