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:
WASHINGTON—The National Alliance for Care at Home (The Alliance) submitted comments on the proposed Centers for Medicare & Medicaid Services (CMS) contract year 2026 policy and technical changes to Medicare Advantage (MA) programs.
WASHINGTON—The Centers for Medicare and Medicaid Services (CMS) issued a revised policy (CR 13049) that seeks to update documentation requirements for replacement supplies of beneficiary-owned continuous glucose monitors (CGMs), the American Association for Homecare (AAHomecare) wrote in a newsletter to members.
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.
HOUSTON–Hospice providers and several state associations filed a lawsuit Thursday, Jan. 16, against the Department of Health and Human Services (HHS) to block the implementation of the Special Focus Program (SFP).
BALTIMORE—The Centers for Medicare and Medicaid Services (CMS) released its calendar year (CY) 2026 advance notice for the Medicare Advantage (MA) and the Medicare Part D prescription drug programs, which would update payment policies for these programs.
