Centrus Premier Home Care Inc. allegedly billed Massachusetts' Medicaid program for services that were not eligible for reimbursement. It will pay $14 million to settle the allegations.
The LHC Group and Almost Family merger highlights the growing importance providers are putting on post-acute care in a value-driven payment model.
The CMS has canceled a planned home health groupings model designed to encourage providers to better serve Medicare patients with complex medical needs rather than focusing on those who need therapy services. Providers and patient groups worried it would shrink access for all types of patients.
The rulings said home health aides who don't live full time with their clients should be paid for every hour of a 24-hour shift.
Amedisys, one of the nation's largest home health operators, is closing four locations in Florida and consolidating three more where it already has centers.
The doctor will serve nearly 17 years in federal prison and repay $34 million for his part in a $50 million-plus Medicare fraud scheme.
CMS' proposed home health payment model alarms providers. Would it boost access for medically complex patients?
The home health groupings model is designed to encourage providers to better serve Medicare patients with complex medical needs rather than focusing on those who need therapy services. But provider and patient groups fear it would shrink access for all types of patients.
The home health agencies billed Medicare at an "alarming rate" generally for the most comprehensive physician exam and always adding a prolonged service code, investigators said.
Bayada Home Health Care described the move to not-for-profit as the first of its kind in the industry, driven by a motivation to sustain the organization for multiple generations and bolster recruiting and retention efforts.
Northwestern Medicine may have found the one hospital market where investment in long-term care hasn't paid off: affluent north suburban Lake Forest, Ill.
Catholic-sponsored Christus Health has agreed to contribute 21 home health, hospice and long-term hospitals to a joint venture with LHC Group, joining other hospitals in offloading those businesses.
The academic centers will give newly trained providers the unique skills needed to offer home-based primary care. Only about 1,000 providers currently offer home visits even though about 2 million Medicare patients need the service.