Home Telehealth Care
Expert articles and analysis related to home telehealth care.
AI Summary — Last 7 Days
Home-based care policy is tightening on both payment and program-integrity fronts: CMS under the Trump administration paused new hospice and home health Medicare enrollment in targeted areas for six months, while DOJ moved against alleged Medicaid fraud tied to New York’s $10B CDPAP home-care program—signals that growth in home-based models will face more scrutiny over network adequacy, billing controls, and beneficiary protections. At the same time, CMS is pushing chronic care further into the home and updating telehealth billing requirements for RHCs, but providers remain constrained by Medicare Advantage prior authorization and Medicaid payment uncertainty, creating a VBC tension between expanding home/RPM-enabled population health infrastructure and managing utilization, compliance, and margin risk. Key developments: CMS hospice/home health enrollment freeze and DOJ action on NY home-care Medicaid fraud.
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