InTandem delivers rhythmic auditory stimulation in the home

PORTLAND, Maine—MedRhythms, Inc. announced that the Centers for Medicare and Medicaid Services (CMS) established a new reimbursement code for the company's flagship product, InTandem, a clinically validated, prescription medical device that delivers rhythmic auditory stimulation (RAS) in the home to improve walking and ambulation in chronic stroke patients.

Essen Health Care aims to increase care coordination & caregiver support with the new model

BRONX, New York—Essen Health Care 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. This model is designed to enhance care coordination and provide support to people living with dementia and their caregivers.

A CMS report provided a summary on the results from a 2023 Health Equity Feedback Report

Home health agencies spent less per Medicare beneficiary and had better discharge outcomes than other post-acute care settings, according to a new report. The information comes from the National Summary Report, which is part of efforts by the Centers for Medicare & Medicaid Services Division of Chronic and Post-Acute Care to increase and analyze standardized data. 

The list of medications reflects current U.S. prescribing practices

ALEXANDRIA, Virginia—The National Home Infusion Association (NHIA) has developed a list of medications to serve as a reference when making site of care decisions for patients requiring intravenous (IV) or subcutaneous (SC) infusions. The list of medications reflects current U.S. prescribing practices and was compiled from home infusion providers' medication dispensing reports and reviewed by NHIA’s Quality and Standards Committee. 


CMS announced additional resources & flexibilities available in response to Hurricane Debby in Florida, Georgia & South Carolina

WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) announced additional resources and flexibilities available in response to Hurricane Debby, now Tropical Storm Debby, in the states of Florida, Georgia and South Carolina. CMS is working closely with these states to ensure those affected by this natural disaster have access to the care they need—when they need it most.

Guiding an Improved Dementia Experience (GUIDE) Model aims to increase care coordination, support for caregivers

JACKSON, Michigan—Careline Physician Services (Careline) announced it has been selected by the Centers for Medicare & Medicaid Services (CMS) to participate in a new Medicare alternative payment model designed to support people living with dementia and their caregivers.

Ronald David pleaded guilty to conspiracy to commit wire fraud

MISSOULA, Montana—A Whitefish physician accused in connection with alleged schemes to defraud government health programs admitted on Wednesday to falsely billing Medicare and other health programs in a telemedicine scheme that resulted in more than $39 million in false billing, the U.S. Attorney’s Office said.


Guiding an Improved Dementia Experience (GUIDE) model aims to increase care coordination, support for caregivers

LOS ANGELES, California—The University of California, Los Angeles (UCLA) has been selected by the Centers for Medicare & Medicaid Services (CMS) to participate in a new Medicare alternative payment model designed to support people living with dementia and their caregivers.

Guiding an Improved Dementia Experience (GUIDE) Model aims to increase care coordination, support for caregivers

PHOENIX, Arizona—Banner Alzheimer’s Institute and Banner Sun Health Research Institute were selected by the Centers for Medicare & Medicaid Services (CMS) to participate in a new Medicare alternative payment model designed to support people living with dementia and their caregivers.

Funding for initiatives to support providers in all communities & care settings serving older adults remain central to advocacy & education efforts

WASHINGTON—LeadingAge president and CEO Katie Smith Sloan pushed back on criticism that opposition to the Center for Medicare and Medicaid Services (CMS) minimum staffing standards final rule has “no justifiable rationale” and allegations that greed is the basis of efforts to halt the rule’s implementation.

Following the $2 billion urinary catheter scam, CMS is attempting to crack down on ACO fraud

WASHINGTON—On June 28, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the proposed rule entitled, “Medicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023” (CMS-1799-P). 

Co-plaintiff status against Department of Health and Human Services is official

WASHINGTON—Following its early June decision to file to join the American Health Care Association’s (AHCA) lawsuit against the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS), LeadingAge, the association of nonprofit providers of aging services, including nursing homes, announced its official co-plaintiff status.

Rhode Island Legislature increases Medicaid rates above 75%

PROVIDENCE, Rhode Island—Rhode Island’s homecare providers are celebrating this evening’s passage of the state’s fiscal year 2025 (SFY25) budget set to begin on July 1, 2024. Within Article 9 of the budget, the Rhode Island General Assembly (state legislature) approved significant Medicaid fee-for-service rate increases for contracted homecare provider companies. These rate increases include some that are higher than 75% effective Oct. 1, 2024.


CMS rescinded the mplementation of the hospice certifying physician enrollment requirement due to already established law and regulation

WASHINGTON & ALEXANDRIA, Virginia—The National Association for Home Care & Hospice (NAHC) and the National Hospice and Palliative Care Organization (NHPCO) responded to the Centers for Medicare & Medicaid Services (CMS) recently revised guidance regarding the implementation of the hospice certifying physician enrollment requirement.

U.S. Senator Kevin Cramer is cosponsoring a Congressional Review Act resolution of disapproval against the final rule issued by CMS

WASHINGTON—The Centers for Medicare and Medicaid Services (CMS) announced a final rule in April, imposing minimum staffing requirements for long-term care facilities (LTC), which provide care to nearly

Julio Arsenio Rodriguez submitted millions in fraudulent claims to Medicare & Medicaid for medically unnecessary DME

MIAMI—A Miami federal district judge sentenced a fugitive to 87 months in prison followed by three years of supervised release for his role in a multimillion-dollar conspiracy to commit money laundering. The judge also ordered him to pay $3,709,860 in restitution.

Shiva Akula was convicted ton 23 counts in relation to an extensive health care fraud scheme

NEW ORLEANS—U.S. District Judge Lance Africk sentenced Shiva Akula, age 68, of New Orleans, to 240 months of imprisonment, three years of supervised release and $2,300 in mandatory special assessment fees, in relation to an extensive health care fraud scheme orchestrated by Akula. In November 2023, a federal jury convicted Akula of all 23 counts of his underlying indictment.