MedPAC Comments on CY 2026
CMS by Kristin Rowan, Editor MedPAC Comments on CY 2026 MedPac Sends Recommendations to Congress MedPAC makes recommendations to Congress and HHS on issues affecting the Medicare program. The March report for 2025 includes recommendations for hospice, home health, and...Dementia Care Model Test
Clinical FOR IMMEDIATE RELEASE Contacts: PocketRNWilliam LeinerChief Operating Officerwill.leiner@pocketrn.com DaughterhoodBecca Dittrichbecca@daughterhood.org PocketRN and Daughterhood Announce a National Strategic Partnership to Test Medicare...Alliance Statement on Congressional Budget
Advocacy FOR IMMEDIATE RELEASE Contacts: Tom Threlkeld 202-547-7424 Email Elyssa Katz 571-281-0220 Email The Alliance Comments on Recent Congressional Budget and Reconciliation Activity ALEXANDRIA, VA and WASHINGTON, DC, March 5, 2025 – The National Alliance for...Underlying Causes of Health Issues
Advocacy by Kristin Rowan, Editor Underlying Causes of Health Issues Underlying causes of health issues are common. Not all health issues come directly from infections, medical conditions, or genetics. Lifestyle, environmental factors, and social determinants can cause and/or...ATA Applauds Telehealth Inclusion
Advocacy FOR IMMEDIATE RELEASE Contact: Gina Cella781-799-3137gcella@americantelemed.org ATA ACTION APPLAUDS INCLUSION OF MEDICARE TELEHEALTH FLEXIBILITIES IN DRAFT CONTINUING RESOLUTION, URGES CONGRESS TO REINSTATE PROVISIONS AS SOON AS...Update on Public Participation in Rule Making
Advocacy by Kristin Rowan, Editor Update Last week, we reached out to some of our contacts for responses to this change. Former President of NAHC and current Senior Counsel at Arnall Golden Gregory Bill Dombi said: It is difficult to discern the impact of the rescission of the...Humana Thyme Agreement
Clinical by Kristin Rowan, Editor Palliative Care for Medicare Advantage Members Cancer is one of the highest leading causes of death in the United States, second only to heart disease. The challenges for cancer patients are not only physical, but emotional and financial as...Prior Authorization Requirement Removed by UnitedHealthcare
Clinical by Kristin Rowan, Editor Easier Access to Home Health Prior authorization requirements can be cumbersome, delaying or even preventing care in some cases. Patients who need prior authorization to get he care they need also generally have form after form to fill out or...BREAKING NEWS: Kennedy Rescinds Public Participation in Rule Making
Advocacy by Kristin Rowan, Editor Public Participation Rescinded The Administrative Procedure Act (APA) requires that an agency public a notice of proposed rulemaking in the Federal Register; allow sufficient time for public participation via written data, views, or arguments;...Special Focus Program Ends
Advocacy by Kristin Rowan, Editor Special Focus Program Not Well Received When the Hospice Special Focus Program (SFP) first appeared, the industry was told the program would help CMS identify and improve the performance of hospice providers that were struggling to meet...Perfect Storm
Admin by Hannah Vale, CMO HealthRev Partners Care at Home Industry Faces Perfect Storm Industry Challenges in 2025 The care at home industry is grappling with an unprecedented crisis as staffing shortages, technological hurdles, and complex reimbursement models converge to...Treatment in Place from Emergency Medical Services
Clinical by Elizabeth E. Hogue, Esq. Treatment in Place Providers of services to patients in their homes are anecdotally familiar with situations in which patients need help at home, but do not qualify for home health services and have not arranged for or are unable to afford...Medicare Advantage Lowers Home Health Care Use
Hospice by Kristin Rowan, Editor End-of-Life Care in Medicare Advantage vs Traditional Medicare Using research from CMS, researchers from Mt. Sinai in New York and Brown University in Rhode Island studied the data of adults aged 66 and older who passed away and had Medicare...Medicare Advantage Increase for Payers, not Providers
Artificial Intelligence by Kristin Rowan, Editor CMS Announces Medicare Advantage Pay Hike On January 13, 2025, CMS announced its plans to increase payments to Medicare Advantage plans by 4.33%. Policy changes for Medicare Advantage and Part D include changes in how the agency calculates...
