Physical, mental & financial well-being of 41M U.S. family caregivers caring for senior loved ones at risk

NEW YORK—As November is recognized as National Family Caregivers Month, A Place for Mom (APFM), an online platform for caregivers seeking senior care options, has released the findings of its 2023 State of Caregiving in the U.S. Survey. To draw attention to the challenges faced by the 41 million family caregivers in the country, the survey results reveal new information about the increasing obstacles caregivers are overcoming, highlighting the pressing need for more support and resources.

The award was presented at the BAYADA Hearts for Home Care’s Ambassador of the Year Awards Ceremony

WASHINGTON—BAYADA Hearts for Home Care (H4HC), a nonprofit advocacy organization made up of thousands of homecare recipients, their families and loved ones and homecare professionals, presented Bill Dombi, president of the National Association for Home Care & Hospice (NAHC), with its Lifetime Achievement Award.

Patel fraudulently sold prescriptions and doctors’ orders for DME, pharmaceuticals & laboratory tests

PELHAM MANOR, New York—Damian Williams, the United States Attorney for the Southern District of New York, and Naomi Gruchacz, the Special Agent in Charge of the New York Office of the U.S. Department of Health and Human Services, Office of Inspector General (“HHS-OIG”), announced the unsealing of a five-count Indictment charging Manishkumar Patel in connection with a health care fraud and kickback scheme involving the sale of fraudulent prescriptions.

The acquisition provides PHS further reach into the Texas pediatric HME market

FORT WORTH, Texas—Apple Homecare Medical Supply, Inc., a Texas pediatric respiratory and enteral supply provider, was recently acquired by Minnesota-based Pediatric Home Respiratory Services, LLC (PHS), a multi-state provider of pediatric respiratory equipment, enteral nutrition, infusion nursing and pharmacy, homecare/private duty nursing and more.

RALEIGH, N.C.—State and national durable medical equipment (DME) advocates have helped secure a $3.2 million increase for HME in North Carolina, the American Association for Homecare (AAHomecare) announced. 

AAHomecare credited the Atlantic Coast Medical Equipment Services Association (ACMESA) and strong relationships developed with North Carolina Medicaid officials and members of the state legislature for making the win possible.  

AAHomecare, Georgia Association worked together to organize lobby days and ensure Medicaid care management organization pays full fee schedule.

ATLANTA—The American Association for Homecare (AAHomecare) and the Georgia Association of Medical Equipment Suppliers (GAMES) recently secured a rate floor for durable medical equipment (DME) using regulatory authority, AAHomecare announced. Laura Williard, vice president of payer relations for AAHomecare and state legislative chair for GAMES, worked closely with Peachtree Government Relations and helped organize two lobby days in the state to educate government officials on reimbursemen

The combined companies will work together to bolster providers’ ability to improve financial performance and succeed in value-based care arrangements

OVERLAND PARK, Kansas—WellSky, a health and community care technology company, announced it has acquired Corridor, an end-to-end tech-enabled services platform designed for the post-acute care industry’s challenges, from HealthEdge Investment Partners, a health care-focused private equity firm.

Rule for 2024 Home Health Prospective Payment System Rate Update calls for only half of full rate adjustment to come due next year, but advocates say long-term impact still serious. Rule also changes DME resupply requirements.

WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) issued its 2024 Home Health Prospective Payment System Rate Update final rule on Nov. 1, landing on more moderate cuts than initially proposed but still enacting rate reductions beginning in 2025 that would present “serious concerns for the home health community,” according to the National Association for Homecare and Hospice.

Clients can streamline operations to improve outcomes in pharmacy benefit management services

DALLAS—Axxess and OnePoint Patient Care announced the integration of Axxess Hospice and OnePoint Patient Care's Pharmacy Benefit Management platform. Axxess said the integration will help alleviate administrative burdens, increase nurse satisfaction, improve retention rates and provide better patient outcomes. 

The five transactions were in various health care verticals

FORT WORTH, Texas—VERTESS, a health care mergers and acquisitions (M&A) advisory firm, announced the closing of five major health care transactions in Quarter 3 (Q3) 2023 with a combined total transaction value of $75 million. The five transactions were in various health care verticals. The headwinds faced earlier in the year due to global and domestic economic pressures are clearing and signs for a profitable Q4 and 2024 are strong, VERTESS said.

Valle is charged with one count of conspiracy to commit health care fraud and wire fraud, two counts of wire fraud and three counts of major fraud

WASHINGTON—The Justice Department announced charges against a former executive at HealthSun Health Plans Inc. (HealthSun)—a Medicare Advantage organization that operates Medicare Advantage plans in South Florida—for her role in a multimillion-dollar Medicare fraud scheme. 

Growth expansion continues across the midwest & western regions

ATLANTA—TZMO USA announced that Christian DePhilippis and Sam Keller have joined their growing Seni sales team. DePhilippis has experience promoting advanced wound care products to hospitals, long-term care communities, home health agencies, hospice agencies and physician offices. DePhilippis will oversee the Southern California market.