Uncertainty in Home Health Care with CMS ‘Overpayment’ Clawbacks Looming
Home health providers face uncertainty as CMS clawbacks loom, with billions in potential repayments impacting the industry’s financial stability.
Healthcare Payers
CMS Expands AHEAD Model to Include New York and Rhode Island
CMS announces the addition of Rhode Island and parts of New York to the AHEAD Model, expanding efforts to improve healthcare outcomes and manage spending across six states.
Medicare Shared Savings Program Reports $2.1 Billion in Savings for 2023
The Centers for Medicare & Medicaid Services (CMS) has announced a 0.5% increase in home health payments for 2025 alongside deeper permanent cuts, sparking debate among healthcare providers.
Medicare Shared Savings Program Reports $2.1 Billion in Savings for 2023
The Medicare Shared Savings Program achieved its highest-ever savings in 2023, with more than $2.1 billion saved and significant improvements in healthcare quality.
Proposed Rules under ACA to Enhance Coverage of Preventive Services
A comprehensive report by CMS explores the Acute Hospital Care at Home initiative, highlighting its impacts on patient care, quality, and costs. The study analyzes data from hospitals treating patients at home, comparing it to traditional inpatient care.
CMS Releases In-Depth Study on Home-Based Acute Care Initiative
A comprehensive report by CMS explores the Acute Hospital Care at Home initiative, highlighting its impacts on patient care, quality, and costs. The study analyzes data from hospitals treating patients at home, comparing it to traditional inpatient care.
New Hampshire Joins Nationwide Effort to Boost Behavioral Health Services
New Hampshire has secured CMS approval to provide community-based mobile crisis intervention teams for behavioral health, joining 20 other states in this significant expansion under the Biden-Harris American Rescue Plan.
Bonds With Clients Shown to Improve Caregiver Satisfaction
Discover how strong bonds between home care workers and their clients are proving vital for job satisfaction and retention, despite the challenges of low wages and high burnout rates.
Centene Secures Renewed Medicaid Contract in Iowa
Centene Corporation continues its role in Iowa’s Medicaid program with a new six-year managed care contract, maintaining stability for beneficiaries and aligning contract timelines.
Illinois Plans Rebid of Medicaid Managed Care Contracts for 2025-2026
The Illinois Department of Healthcare and Family Services is set to rebid its Medicaid managed care contracts, aiming to enhance services for dual-eligible beneficiaries and the general Medicaid population.