Managed Care

 

New Home Health Caregivers Get OK From Medicare

MANAGED CARE February 1998. © MediMedia USA
Washington Initiatives

New Home Health Caregivers Get OK From Medicare

MANAGED CARE February 1998. ©1998 Stezzi Communications
Washington Initiatives

The Department of Health and Human Services has lifted its moratorium on enrolling new home health agencies in the Medicare program.

President Clinton instituted the moratorium in September 1997 after government studies uncovered a pattern of fraud and abuse in the Medicare home health industry.

But in the last four months, the department has introduced a slew of antifraud measures, including a stiff requirement for surety bonds to protect consumers and a new payment system that creates incentives for agencies to provide more efficient care.

Watch for other antifraud proposals this year, including regulations requiring criminal background checks for home health aides and rules requiring home health agencies to re-enroll every three years, which will help Medicare check on quality and integrity and exclude problem providers.

Home health services are a $15 billion chunk of Medicare. About 10,000 home health care agencies were in the business, with more than 100 entering the field every month, when the moratorium was imposed.

Meetings

4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015