CMS further delays start of Primary Care First-Seriously Ill Population model
By
Joe Jancsurak
Mar 17, 2021
The Centers for Medicare & Medicaid Services has disclosed another delay — but no definitive timeline — of its Primary Care First-Seriously Ill Population physician payment model, which the hospice...
Palliative care payment model is on the not-so-distant horizon, advocates believe
By
Diane Eastabrook
Jun 28, 2021
Palliative care advocates are gaining confidence the Center for Medicare and Medicaid Innovation (CMMI) will give the go-ahead for a demonstration payment model covering community-based palliative care.
Home care lauds new legislation that would create national long-term care insurance plan
By
Diane Eastabrook
Jul 02, 2021
A new bill before Congress would help seniors pay for long-term care at home. On Thursday, Rep. Thomas Suozzi (D-NY) introduced the Well-Being Insurance for Seniors to be at Home (WISH) Act.
CMS reports $5.9 billion decrease in improper home health payments
By
Joe Jancsurak
Nov 19, 2020
Home health changes resulted in a $5.9 billion decrease in estimated improper payments from fiscal year 2016 to fiscal year 2020, the Centers for Medicare & Medicaid Services announced.
New administration likely to scrutinize MA plans more closely, address Medicaid HCBS issues, policy experts...
By
Liza Berger
Jan 28, 2021
Medicare Advantage (MA) will continue to grow significantly and offer flexibility, but the Biden administration likely will be scrutinizing plans more carefully, according to two highly respected healthcare...
GAO to CMS: Keep a closer eye on HCBS programs during pandemic
By
Diane Eastabrook
Sep 14, 2021
The General Accounting Office is recommending the Centers for Medicare and Medicaid Services pay closer scrutiny to temporary changes to home-and-community-based services during public health emergencies...
Hospice providers could face termination, fines or temporary management changes under proposed CMS program
By
Diane Eastabrook
Jul 14, 2021
Hospice providers could face anything from termination to a combination of remedies, including fines, under a new Special Focus Program being proposed by the Centers for Medicare and Medicaid Services.
MedPAC recommendations: Change MA benchmark policy, operate fewer alternative payment models
By
Liza Berger
Jun 16, 2021
The Medicare Payment Advisory Commission (MedPAC) issued a report Tuesday that advises Congress to change the benchmark policy for the growing Medicare Advantage (MA) program. It also recommended that...
New York aims to lead PACE expansion with innovative pilot
By
Diane Eastabrook
Aug 02, 2021
An innovative plan in New York State could expand the Program of All-Inclusive Care for the Elderly (PACE) to more people.
NAHC to CMS: More work needed on PDGM, HHVBP, other proposed home health rules
By
Diane Eastabrook
Aug 31, 2021
The National Association for Home Care & Hospice (NAHC) wants the Centers for Medicare and Medicaid Services to go back to the drawing board on proposed changes to home health reforms for the coming year.