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News
Home health, hospice admissions surge as Medicare Advantage growth plateaus
6+ hour, 17+ min ago (549+ words) Providers could potentially have a new benchmark for fee-for-service home care admissions, according to the latest report from Trella Health. The annual interactive Post-Acute Market Intelligence Report: 2026 Edition also found increases in home health and hospice admissions, as well as…...
Home Care briefs for Wednesday, Aug. 5
2+ day, 3+ hour ago (55+ words) McKnights Home Care Medicare eliminates key pathways used by âbreakthroughâ devices for extra payments ⦠RFK Jr., Oz claim fraud crackdown drove ACA enrollment drop while analysts cite rising costs ⦠Medicaid work rule leaves homeless in the cold…...
Humana: Gentiva divestiture to fund acquisition, CenterWell performing well
1+ week, 16+ hour ago (323+ words) Louisville, KY-based insurer Humana disclosed Wednesday that the divestiture of its minority interest in Gentiva will be used to fund its acquisition of MaxHealth, a primary care platform focused on providing high-quality, integrated care to adults and senior patients throughout…...
OIG: Home health agency's referral software subscription is unlawful
2+ week, 16+ hour ago (454+ words) The unfavorable opinion, released by the Department of Health and Human Services’ Office of Inspector general at the end of June, only focuses on the specific set of facts in this one instance. However, it may also apply to other…...
Medicare home health use falling due to payment policy, MA, research finds
3+ week, 1+ day ago (243+ words) Home health coverage, a Medicare benefit since the program’s inception in 1965, with services designed to help beneficiaries stay in their homes while avoiding more costly institutional care, continues to decrease. “My biggest overarching concern about PDGM is it has really…...
CMS proposes home health pay bump of 2.4 percent for CY 2027
1+ mon, 5+ day ago (205+ words) McKnights Home Care CMS proposes home health pay bump of 2.4 percent for CY 2027 >> Medicare home health providers would receive a payment increase of 2.4%, or $420 million, in calendar year 2027, according to a home health proposed rule released Wednesday afternoon. The proposed…...
Strict definition of ‘medically frail’ in Medicaid rule vexes home care providers
2+ mon, 1+ day ago (324+ words) Home care providers are still reeling after the Centers for Medicare & Medicaid Services articulated a rigid definition of “medically frail” in the Medicaid work requirements interim final rule released this week. Individuals on Medicaid who are “medically frail” may receive…...
Senators call for new Medicare benefit for home care, more Medicaid HCBS funding
2+ mon, 1+ week ago (261+ words) A group of Democratic United States senators last week expressed the need for a new Medicare benefit for in-home care and expanded Medicaid funding for home- and community-based services as part of a larger plan to increase funding for long-term…...
Providers urge CMS to increase home health payment rates for 2027
2+ mon, 2+ week ago (272+ words) The nation’s largest organization representing home health and hospice providers is calling on the Centers for Medicare and Medicaid Services to restore home health funding for calendar year 2027 following a funding reduction this year. The National Alliance for Care at…...
CMS sets 2027 deadline for electronic prior authorization interfaces
3+ mon, 1+ day ago (273+ words) McKnights Home Care Building on its pledge with major health plans last year to streamline prior authorizations, the Centers for Medicare & Medicaid Services on Tuesday disclosed that it is adding electronic prior authorization to the Health Tech Ecosystem. âThe…...