WASHINGTON, D.C. (November 12, 2021)—The Centers for Medicare and Medicare Services (CMS) announced it is rescinding the Medicare Coverage of Innovative Technology and Definition of “Reasonable and Necessary” (MCIT/R&N) final rule because of concerns that the provisions in the final rule may not have been sufficient to protect Medicare patients. By rescinding this rule, CMS can take action that will better address those safety concerns in the future.
CMS
Switching seniors to Medicare Advantage plans has cost taxpayers tens of billions of dollars more than keeping them in original Medicare, a cost that has exploded since 2018 and is likely to rise even higher, new research has found.
WASHINGTON, D.C. (November 5, 2021)—Home health agencies dodged a bullet when it came to the federal governemnt’s new rule on home health care, said National Association for HomeCare and Hospice (NAHC) President Bill Dombi.
That’s because the Centers for Medicare & Medicaid Services (CMS) did not end up requiring spending cuts to achieve budget neutrality in the final Home Health Rule it issued this week—despite suggesting it would in the draft.
WASHINGTON, D.C. (November 4, 2021)—The Centers for Medicare & Medicaid Services issued an emergency regulation Thursday requiring about 17 million people working for some 76,000 health care providers—including those in home health, hospice and home infusion—to be at least partially vaccinated against COVID-19 by December 5, 2021.
Updated Nov. 3 at 7:22 a.m. with statement from Bill Dombi.
WASHINGTON, D.C. (November 2, 2021)—The Centers for Medicare & Medicaid Services (CMS) issued its awaited final rule affecting home health today, expanding the Home Health Value-Based Purchasing Model (HHVBP) and increasing payment rates for home health by 3.2% in 2022.
WASHINGTON, D.C. (November 2, 2021)—At a recent virtual event, Centers for Medicare & Medicaid Services (CMS) leaders, including Administrator Chiquita Brooks-LaSure and Center for Medicare and Medicaid Innovation (CMMI) Director Liz Fowler, unveiled the agency’s refreshed strategic vision for developing, implementing, and evaluating new care delivery and payment model demonstrations.
CONNECT for Health Act of 2021, S. 1512
WASHINGTON, D.C. (October 26, 2021)—The Centers for Medicare & Medicaid Services (CMS) has updated Chapter 9 of the Medicare Benefit Policy Manual to provide clarification for two hospice items:
WASHINGTON, D.C. (October 21, 2021)—The Centers for Medicare & Medicaid Services (CMS) has launched a new “one-stop shop” for state Medicaid agencies and stakeholders on medicaid.gov to advance transparency and innovation for home- and community-based services.
ATLANTA (October 19, 2021)— The home medical industry has made significant progress in recent months but still faces big challenges in Washington, including the threat of Medicare cuts and uncertainty about competitive bidding, Tom Ryan, president and CEO of the American Association of Homecare, said in his update at Medtrade East.
WATERLOO, Iowa (October 19, 2021)—VGM Government, in conjunction with Brian Leitten and Leitten Consulting, has released an updated study analyzing the efforts by the Centers for Medicare & Medicaid Services (CMS) to control distribution of durable medical equipment (DME). The study, “Competitive Bidding—A Decade Focused on the Wrong Prize.
WASHINGTON, D.C (October 15, 2021)—As the population ages and more people live longer with greater disability and disease, policymakers are increasingly motivated to build out the palliative care infrastructure so that more patients and families can access these vital services that address the stress and symptoms of serious illness.
WASHINGTON, D.C. (October 13, 2021)—Ninety-five members of the House of Representatives have joined a Congressional sign-on letter urging the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) to finalize the durable medical equipment (DME) rule and extend the 50/50 blended rates for suppliers serving rural areas.
WASHINGTON, D.C. (October 12, 2021)—Hospice providers have been anxiously awaiting additional information on two new Hospice Quality Reporting Program (HQRP) measures:
• Hospice Visits in Last Days of Life (HVLDL)
• Hospice Care Index (HCI)
OVERLAND PARK, Kan. (October 11, 2021)—WellSky, a health and community care technology company, announced that Seema Verma, the longest-serving administrator of the Centers for Medicare & Medicaid Services (CMS) in modern history, has joined the company’s board of directors. Verma’s vast experience creating national health care policies and developing technology standards will accelerate WellSky’s mission to transform care at every level.
WASHINGTON, D.C. (October 8, 2021)—The Centers for Medicare & Medicaid Services (CMS) has posted the annual update of the Post-Acute Care and Hospice Provider Public Use File (PAC PUF) with data for 2019. The PAC PUF now has data available for years 2013-2019.
WASHINGTON, D.C. (October 7, 2021)—The American Assocation for Homecare (AAHomecare) shared that it had received confirmation from the Health Resources and Services Administration (HRSA), the agency that manages the Provider Relief Fund (PRF), that durable medical equipment (DME) suppliers are eligible for General Distribution Phase 3 and Phase 4 funding.
ARLINGTON, Va. (October 7, 2021)—Community Health Accreditation Partner (CHAP) announced new home medical equipment (HME)/durable medical equipment, prosthetics and orthotics (DMPOS) standards approved by the Centers for Medicare & Medicaid Services (CMS). The new standards will be used for all HME/DMEPOS surveys starting Jan. 1 2022.
WASHINGTON, D.C. (October 1, 2021)—The Department of Health and Human Services (HHS) has made $25.5 billion in funds available starting Sept. 29th. HHS is now accepting applications for General Distribution Phase 4 and American Rescue Plan (ARP) Rural payments. HHS is also accepting requests for reconsideration of Phase 3 payment calculations.
WASHINGTON, D.C. (September 30, 2021)—The Centers for Medicare & Medicaid Services (CMS) announced the Calendar Year (CY) 2022 participants in the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model. There is a more than two-fold increase in the number of model enrollees covered by participating MA plans in 2022 compared to 2021.
BIRMINGHAM, AL (September 23, 2021)—On Sept. 9, the Biden administration announced that staff at Medicare and Medicaid-certified “facilities”—including home health agencies and likely home medical equipment providers—will be required to have the COVID-19 vaccine. Homecare providers should work now to get health care staff vaccinated to make sure they are in compliance when the rule takes effect, the government said.