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Special Bulletin: CMS Releases CY 2023 Home Health PPS Proposed Rule
While this rule includes no major changes to the structure of the HH PPS, the AHA is very concerned about the unprecedented behavioral offset the agency proposes — 6.9 percentage points — which it states is necessary to achieve budget neutral implementation of the Patient-driven Groupings Model (PDGM) case-mix system. In addition, we are extremely concerned with CMS’ proposed payment update of only 2.9%, given the extraordinary inflationary environment and continued labor and supply cost pressures HHAs face.
AHA Statement on CMS and ASPE Draft Unified Post-Acute Care Payment Model
Today's draft unified payment model for post-acute care (PAC) under Medicare contains numerous fundamental flaws which render it unworkable for both patients and provider
AHA Letter for the Energy and Commerce Subcommittee Hearing on Medicare Advantage Plans
AHA expresses concerned about some MA plans’ inappropriate restrictions on beneficiary access to medically necessary care, including those highlighted in a recent report issued by the Department of Health and Human Services’ Office of Inspector General (HHS-OIG),
Blog: New Post-acute Care Model Falls Short
Post-acute care (PAC) providers continue to play a central role in COVID-19 response and recovery. In particular, providers in COVID-19 hotspots have been crucial to helping take the pressure off over-crowded referring hospitals and providing specialized care for the sickest patients — including “long-haul” patients requiring extended care after the initial period of illness has been resolved.
Carolinas Rehabilitation Creates System, Overturns Medicare Advantage Denials
At Atrium Health Carolinas Rehabilitation, we’ve developed a system to help our patients push back against unjustified Medicare Advantage denials so they can receive the care they need and deserve. Over the past year, we’ve successfully overturned more than 350 such denials.
Perspective: Reconnected and Ready to Rebuild and Reimagine a Better Health Care System
Courage. Compassion. Workforce. Health equity. Heroes. Challenges. Innovation. Community partnerships. Leadership. Opportunities. These were some of the most common words we heard from attendees and speakers talking about our field at this week’s AHA Annual Membership Meeting in Washington, D.C.
3 Keys to CVS Health’s Growth Strategy
CVS Health’s strategic priorities are in care coordination and chronic-disease management, health IT and home health especially bear watching as the nation’s health system continues to transform.
What’s Next for Unitedhealth and Optum after $5.4 Billion Acquisition of Home Care Provider?
UnitedHealth Group’s Optum is making another significant push into care delivery after its recent $5.4 billion merger agreement with home care company LHC Group. The question now is: What’s next for Optum?
AHA Comments to the CMS Urging Changes to MA Prior Authorization Requirements for Public Health Emergencies
AHA encourages the Centers for Medicare & Medicaid Services to work with Congress to require Medicare Advantage plans to waive prior authorization and other utilization management policies during public health emergencies, especially for hospitals transferring patients to post-acute care.
Administration to establish minimum staffing ratio for nursing homes
In tonight’s State of the Union address, President Biden is expected to announce plans to establish new minimum staffing ratios for nursing homes.