by Rowan Report | Oct 11, 2023 | CMS, Medicare Advantage, Regulatory
NOW AVAILABLE IN iQIES – Preview Reports and Star Rating Preview Reports for the January 2024 Refresh CMS just published updated measure for Home Health Outcome Information Set (Oasis) and all HH QRP claims-based measures. These updated measures are no based on...
by Tim Rowan | Oct 11, 2023 | Product Review
by Tim Rowan, Editor Walking a Thin Line Home Health owners are used to walking tightropes. Indeed, there are many they are forced to walk every year, if not more often. One tightrope is a daily one. It delineates the fine line between regulatory compliance and...
by Rowan Report | Oct 4, 2023 | Admin, M&A
by Greg Schriber In the dynamic landscapes of home health, home care, and hospice services, these industries are experiencing transformative trends, marked by evolving market changes and a surge in demand. Understanding these trends and strategically positioning one’s...
by Kristin Rowan | Sep 13, 2023 | Editorial, M&A, Regulatory
by Kristin Rowan, Editor UnitedHealth Group Makes Bid to Buy Amedisys after Acquiring LHC Group Amedisys is one of the leading providers of home health, hospice, and other healthcare at home services. It operates more than 500 locations in 37 states and the District...
by Tim Rowan | Aug 23, 2023 | CMS, Regulatory
by Tim Rowan, Editor Home Care Agency Removed Black and Hispanic Home Health Aides from Assignments to Accommodate Racial Preferences of Clients, Federal Agency Charges There is a question that appears on social media chat pages with great regularity. What does a home...
by Tim Rowan | Aug 9, 2023 | Editorial
analysis by Tim Rowan, Editor It is good to occasionally remind ourselves that 2023 is the year enrollment in Medicare Advantage reached a full half of Medicare beneficiaries. Originally conceived as a plan to control spending, MA does seem to be achieving that goal....
by Elizabeth E. Hogue, Esq. | Jul 12, 2023 | CMS, Regulatory
by Elizabeth Hogue, Esq. For providers to be liable under the federal False Claims Act, enforcers must prove that they knowingly submitted false claims. The U.S. Supreme Court recently issued an opinion in United States ex rel. Schutte v. SuperValu, Inc. [No. 21-1326...
by Rowan Report | Feb 1, 2023 | Admin
by Wendell Potter Medicare Advantage is a money-making scam. I should know. I helped to sell it. Right now, well-funded lobbyists from big health insurance companies are leading a campaign on Capitol Hill to get Members of Congress and Senators of both parties to sign...
by Tim Rowan | Feb 1, 2023 | CMS, Medicare Advantage, Regulatory
by Tim Rowan, Editor CMS Rule to Protect Medicare The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services, finalized the policies for the Medicare Advantage “Risk Adjustment Data Validation” program, which...
by Tim Rowan | Sep 16, 2020 | CMS, Regulatory
Bi-Partisan Congressional Committees Demand CMS Administrator Repay Misspent Funds his month, two House committees and two Senate committees published a report of a joint investigation into Centers for Medicare and Medicaid Services Administrator Seema Verma’s...
