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.
BALTIMORE, Maryland—The Centers for Medicare & Medicaid Services (CMS) announced it has released its final national coverage determination (NCD) for the treatment of chronic respiratory failure associated with chronic obstructive pulmonary disease (COPD).
WASHINGTON—Following the recent release of the Health Technology Ecosystem request for information (RFI), the Centers for Medicare & Medicaid Services (CMS) hosted an in-person listening session to discuss the RFI and ways to use the health technology innovations to enhance patient care and promote efficiencies in the health care system.
WASHINGTON—The Department of Health and Human Services (HHS) released more details on the agency’s budget request for the 2026 fiscal year in its 51-page Budget in Brief, along with a 194-page Justification of Estimates for Appropriations Committees for the Centers for Medicare and Medicaid Services (CMS).
OWINGS MILLS, Maryland—The Board of Certification/Accreditation (BOC), a CMS-deemed accrediting organization serving the durable medical equipment, orthotics, prosthetics and supplies (DMEPOS) industries for more than 40 years, shared updates regarding a three-year cessation in accepting new accreditation and reaccreditation applications in four states: Florida, Texas, California and New York.
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.
ALEXANDRIA, Virginia—Three people have been sentenced to prison for their roles in a multi-million-dollar Medicare billing scheme.
Just over a year ago, New York Governor Kathy Hochul signed the state’s 2025 budget into law, enacting legislation that significantly reshaped the Consumer Directed Personal Assistance Program (CDPAP).
WASHINTON—The Centers for Medicare & Medicaid Services (CMS) should delay its proposed national policy coverage determination (NCD) on noninvasive positive pressure ventilation (NIPPV) and make substantive changes or risk harming patient access, the American Association of Homecare said in public comments.
WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that would update Mediare payment for hospices 2.4%—a figure industry advocates say is inadequate.
WASHINGTON—As Dr. Mehmet Oz completes his first week as the 17th Administrator of the Centers for Medicare & Medicaid Services (CMS), he shared his agenda and vision for the agency in a press release. A cardiothoracic surgeon and former host "The Dr. Oz Show," he now leads the largest agency under the Department of Health and Human Services (HHS), with a $1.7 trillion budget, tasked with delivering health outcomes for more than 160 million people.
COLUMBUS, Ohio—Sally Njume-Tatsing, 47, formerly of Pickerington, was sentenced in federal court to 42 months in prison for committing Medicaid fraud. Njume-Tatsing was found guilty in September 2024 on all 13 counts as charged following a jury trial.
According to court documents and trial testimony, in 2017, Njume-Tatsing owned and operated three home health care businesses named Labelle Home Health. The agencies were located in Reynoldsburg, Mt. Vernon and Parma.
ARLINGTON, Virginia—The American Association for Homecare (AAHomecare) strongly encouraged respiratory suppliers to comment on a proposed National Coverage Determination (NCD) on noninvasive positive pressure ventilation (NIPPV). Comments are due Thursday, Apr. 10 (11:59 p.m. ET).
WASHINGTON—As the Senate advances its newest budget resolution and the possibility of massive cuts to Medicaid loom, Katie Smith Sloan, president and CEO of LeadingAge, the association of nonprofit providers of aging services, reiterated the impact of large-scale spending reductions in the federal-state health insurance program in a letter to the Senate Finance Committee leadership.
ALEXANDRIA, Virginia & WASHINGTON—The National Alliance for Care at Home (the Alliance) released the following statement on the Medicare Payment Advisory Commission’s (MedPAC) March 2025 Report to Congress: Medicare Payment Policy. MedPAC’s congressionally mandated report provides analysis and recommendations on various Medicare programs, including home health and hospice.
FARGO, North Dakota—Noridian Healthcare Solutions, LLC (Noridian), a developer of solutions for health care programs, announced the re-award of the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) Medicare Jurisdiction A (JA) contract.
WASHINGTON—The Centers for Medicare & Medicaid Service (CMS) published a proposed decision memo on using noninvasive positive pressure ventilation (NIPPV) at home to treat chronic respiratory failure (CRF) connected to COPD, the American Association for Homecare (AAHomecare) reported.
WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) announced its 2025 Quality Conference, which was scheduled for March 17-19, has been postponed. CMS said future conference dates will be announced at a later time. To stay up to date on information regarding the conference, visit cmsqualcon.com.
North Haven, Connecticut—To help home health and hospice organizations meet compliance standards and comply with the Center for Medicare and Medicaid Services’ Patient-Driven Groupings Model (PDGM) and Home Health Value-Based Purchasing (HHVBP), Corcoran Consulting Group (CCG) has partnered with Cliniqon, a tech-enabled company that specializes in home health and hospice coding and quality assurance, following all protocols and regulatory standards set by the Centers for Medicare and Medicaid
NEW YORK—Home medical equipment (HME) stakeholders in New York have worked with NYS Medicaid program leaders to adjust rates for standing frame/table systems that provide critical support for children with neuromuscular conditions that impair their ability to stand independently.
The new rates apply as follows:
