Tag: Medicare beneficiaries

CMS encouraging booster shots for beneficiaries

People with Medicare should get a booster shot of the COVID-19 vaccine, says CMS officials in a news release Dec. 2, 2021. CMS noted it is sending a letter to Medicare beneficiaries encouraging them to get a booster shot as soon as possible. They’re also rolling out reminders through advertising campaigns and telephone and email […]

Home health kickback schemes among recent federal charges

Prosecutors in the Southern District of Florida recently announced charges in two investigations of alleged kickbacks for home health referrals. Those charged where among more than 50 defendants in health care fraud cases in the district in the last six weeks, according to a news release. “South Florida is ground zero for health care fraud.  […]

Poll finds strong support for Choose Home legislation

A new poll has found strong support for expanding home health options following hospitalization and the bipartisan Choose Home Care Act. The poll was conducted by Morning Consult on behalf of the Partnership for Quality Home Healthcare (PQHH), with the results announced Sept. 14, 2021, by the partnership and the National Association for Home Care […]

Choose Home Care Act proposes new add-on services under Medicare home health benefit

Industry leaders are celebrating the introduction of the Choose Home Care Act of 2021. The legislation proposes a new add-on to the Medicare Home Health benefit that would allow extended care services for eligible Medicare patients following discharge from the hospital. Services could include skilled nursing, therapy, primary care, personal care, continuous remote patient monitoring, […]

CMS bolsters payments for in-home COVID-19 vaccinations

In an attempt to vaccinate homebound individuals, CMS announced June 9 an additional payment for administrating the COVID-19 vaccine in-home for Medicare beneficiaries who have a hard time leaving home. “There are approximately 1.6 million adults 65 or older who may have trouble accessing COVID-19 vaccinations because they have difficulty leaving home,” the CMS press […]

Reach out to state health departments to determine next steps in COVID-19 vaccination planning

The Centers for Disease Control and Prevention (CDC) has offered guidance for states on how to prioritize vaccination, but it is up to local health officials to make final determinations on priorities and timelines for vaccine rollout. Louisiana started Monday vaccinating individuals 70 and older, as well as home health services patients and staff, according […]

New CMS model eyes expanded home health benefits

CMS is ready to test a payment and care model that would likely include new opportunities for home health and hospice providers, according to industry leaders. The Geographic Direct Contracting Model is expected to launch a three-year test in January 2022. Developed through the CMS Innovation Center, the model is targeting 15 potential markets for […]

CMS expands telehealth coverage for Medicare beneficiaries

CMS released the annual Physician Fee Schedule (PFS) final rule on December 1, expanding telehealth service coverage to Medicare beneficiaries. Prior to the COVID-19 pandemic, 15,000 fee-for-service Medicare beneficiaries received telehealth services. As of mid-October, 24.5 million out of 63 million Medicare beneficiaries have now received some telehealth services. The final rule adds 60 telehealth […]

CMS expands access to COVID-19 antibody treatments for Medicare beneficiaries

The Food and Drug Administration issued an emergency use authorization (EUA) for the monoclonal antibody therapy bamlanivimab on November 9. As a result, Medicare beneficiaries will receive coverage of monoclonal antibodies to treat COVID-19 during the public health emergency, announced CMS administrator Seema Verma. CMS anticipates that healthcare providers will initially receive the monoclonal antibody […]

The Medicare Care Choices Model (MCCM) will be extended by CMS for one calendar year

The Medicare Care Choices Model (MCCM) will be extended by one calendar year, through Dec. 31, 2021. The extension will enable more Medicare beneficiaries to access supportive care. This extension applies to hospices that have been participating in the model. New hospices will not be enrolled. For those hospices that are participating, they will be […]