A 72-year-old woman is dually eligible for Medicaid and Medicare. She is receiving in-home care and has started exhibiting symptoms of a urinary tract infection (UTI). Her symptoms get worse and is taken...
Biden plugs home care, family caregivers in State of the Union
By
Liza Berger
Mar 08, 2024
In a State of the Union speech Thursday night that was lighter on healthcare than other domestic, and foreign, policy issues, President Biden gave a brief nod to home care.
At-home urinary catheters are at the center of a possible $2 billion Medicare fraud scheme — reportedly the largest in the program’s history.
The home (not the hospital) should be the hub for behavioral healthcare
By
Joe McDonough
Jan 23, 2024
The American mental health system is irreparably broken and demands urgent action. People are struggling, and the wait time to get them help is backing up our healthcare systems, burning out our healthcare...
CMS’ new Behavioral Health Model recognizes seniors’ complex health needs
By
Liza Berger
Jan 19, 2024
Increasingly, it seems, the Centers for Medicare & Medicaid Services is grasping the multifaceted health challenges facing older Americans, the value of community-based stakeholders as problem solvers...
MedPAC’s alternate home health reality
By
Liza Berger
Jan 12, 2024
Home health operators and the Medicare Payment Advisory Commission (MedPAC) continue to see appropriate reimbursement quite differently
We must preserve access to home healthcare
By
Andrew Baird
Dec 21, 2023
We call it “home” for a reason. It’s where many of us find comfort, where we know one another, where our communities are, where our identities lie. Indeed, the casual question “where is home?”...
Medicare’s end-of-life model offers promise for care, savings, study finds
By
Kristen Fischer
Nov 07, 2023
A new study showed how the Centers for Medicare and Medicaid Services (CMS) Medicare Care Choices Model (MCCM) provided benefits in terms of end-of-life care for older adults and cost savings.
Government shutdown could delay release of home health final rule, hamper agency operations, experts...
By
Adam Healy
Sep 29, 2023
While key programs such as Medicare and Medicaid will not immediately be affected, a shutdown could delay the pending home health final rule.
Former medical director of hospice firm sentenced for role in $150M Medicare fraud scheme
By
Liza Berger
Sep 29, 2023
A former hospice medical director will serve 50 months in federal prison followed by one year of supervised release.