The new rule includes new policies regarding rate-setting methodologies, bid limits & payment changes for continuous glucose monitors

WASHINGTON—The Centers for Medicare & Medicaid (CMS) released a proposed rule on home health and durable medical equipment (DME) that includes new provisions for the next implementation of the Competitive Bidding Program (CBP), the American Association for Homecare (AAHomeCare) shared in an email with its members. 

The letter expressed a number of worries related to the future of the Medicare home health agency benefit

WASHINGTON—Sen. Marsha Blackburn and Sen. Susan Collins submitted a letter to Centers for Medicare & Medicaid (CMS) Administrator Dr. Mehmet Oz expressing concern for the future of the Medicare home health benefit, including continued payment cuts leading to further agency closures in their communities.

This partnership will operate under CMS’s Guiding an Improved Dementia Experience (GUIDE) Model

TEMPE, Arizona—PocketRN, a provider of virtual nursing care, and SYNERGY HomeCare, a homecare company, announced they will form a national partnership to test the Centers for Medicare & Medicaid Services (CMS) alternative payment model designed to support people living with dementia and their family caregivers. 

The agency will begin auditing all eligible Medicare Advantage contracts each payment year

BALTIMORE, Maryland—The Centers for Medicare & Medicaid Services (CMS) announced a significant expansion of its auditing efforts for Medicare Advantage (MA) plans. Beginning immediately, CMS will audit all eligible MA contracts for each payment year in all newly initiated audits and invest additional resources to expedite the completion of audits for payment years 2018 through 2024.


The company will participate in the CMS’ Guiding an Improved Dementia Experience (GUIDE) model, which aims to increase care coordination & support for caregivers

BRONX, New York—Essen Health Care, a New York-based medical services provider, announced it has been selected by the Centers for Medicare and Medicaid Services (CMS) to participate in the Guiding an Improved Dementia Experience (GUIDE) model, a new Medicare alternative payment model.

The Centers for Medicare & Medicare Services special focus program aims to improve hospice quality & care standards

BALTIMORE—The Centers for Medicare and Medicaid Services (CMS) released the list of the 50 hospice companies selected for participation in the 2025 Hospice Special Focus Program (SFP). The SFP program, which will be led by the Center for Clinical Standards and Quality, aims to improve hospice quality through increased health and safety oversights.


The consumer price index for all urban consumers (CPI-U) for the 2025 durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) fee schedule is set to increase from 2.4% to 3%

ARLINGTON, Virginia—The Centers for Medicare and Medicaid Services (CMS) released its consumer price index for all urban consumers (CPI-U) adjustment updates for calendar year (CY) 2025 durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) fee schedules, the American Association for Homecare (AAHomecare) released in a recent newsletter to members.

A letter sent to Oz, the president-elect’s nominee for Centers for Medicare & Medicaid Services Administrator, raises concern with his ties to Medicare Advantage & UnitedHealth

WASHINGTON—A group of U.S. senators have written a letter expressing concern about “deep financial ties” the potential head of the Centers for Medicare and Medicaid Centers (CMS), Mehmet Oz, has with Medicare Advantage. The letter was written by multiple democratic senators, including Sen.

The company announced the keynote speaker & early bird pricing for its 2025 AGILE conference, as well as details on the conference’s upcoming CMS hospice outcomes & patient evaluation (HOPE) workshop

DALLAS—Axxess, a global technology platform for health care at home, announced its keynote speaker for its upcoming Axxess Growth, Innovation and Leadership Experience (AGILE) conference, as well as a new hospice outcomes and patient evaluation (HOPE) workshop and early bird pricing for AGILE 2025. The conference will be held Monday, May 5 through Wednesday, May 7, 2025, in Dallas, Texas.

Katie Smith Sloan, president and CEO of the nonprofit provider association, released a statement in response to the Centers for Medicare & Medicare Services contract year 2026 Medicare Advantage & Part D proposed rule

WASHINGTON—LeadingAge, an association of nonprofit providers of aging services, released a statement from its president and CEO, Katie Smith Sloan, regarding on the recently released Centers for Medicare and Medicaid Services (CMS) contract year (CY) 2026 Medicare Advantage (MA) and Part D proposed rule. The full statement by Sloan is detailed below. 

President-elect Donald Trump nominated Mehmet Oz, aka Dr. Oz, for the administrator role, in which he would work closely with Robert F. Kennedy Jr.

WASHINGTON—President-elect Donald Trump announced his nomination of Mehmet Oz, physician, surgeon, former television host and founder of the nonprofit health education company HealthCorps, as administrator of the Centers for Medicare and Medicaid Services (CMS). 

The audit sought to determine whether Medicare payments to acute-care hospitals met Medicare requirements

WASHINGTON—The Office of the Inspector General (OIG) conducted an audit to determine whether Medicare Part B properly paid for durable medical equipment, prosthetics, orthotics and supplies to hospice enrollees from the time period of 2017 through 2021. This audit took place in order to follow up on a prior OIG audit, which found Medicare Part B improperly paid suppliers for such supplies.


The company’s received second-best performance during its first year as a high needs track ACO REACH participant

NASHVILLE, Tennessee—HarmonyCares, a provider of value-based in-home care, announced that its Medicare care coordination company, HarmonyCares ACO LLC, achieved a net savings rate of 23% in its first performance year (2023) as an accountable care organization realizing equity, access and community health (ACO REACH) participant.

The American Association for Homecare worked with industry members to raise the unreported open Medicare Part A home health episodes issue to the Centers for Medicare & Medicaid Services

WASHINGTON—Last month, the Centers for Medicare and Medicaid Services (CMS) implemented a fix that will impact suppliers who provide disposable medical supplies to Medicare beneficiaries, the American Association for Homecare (AAHomecare) wrote in a recent newsletter to members. This fix aims to lay the groundwork for ongoing engagement with CMS in order to address denials triggered by unknown Part A episodes. 

The Office of the Inspector General reviewed Medicare Advantage companies’ use of health risk assessments & offered suggestions to the Centers for Medicare & Medicaid Services

WASHINGTON—The Office of the Inspector General (OIG) reviewed Medicare Advantage (MA) companies’ use of health risk assessments (HRAs), which often increase payments to MA plans by billions of dollars. As a result of the review, OIG offered suggestions to the Centers for Medicare and Medicaid Services (CMS).

The Centers for Medicare & Medicaid Services announced its 2025 premiums, deductibles & coinsurance amounts for Medicare Parts A & B

BALTIMORE, Maryland—The Centers for Medicare and Medicaid Services (CMS) released its 2025 premiums, deductibles and coinsurance amounts for the Medicare Part A and Part B programs, as well as its 2025 Medicare Part D income-related monthly adjustment amounts. 

CMS’ 2025 updates to Medicare Parts A, B and D amounts are listed below.