The American Association for Homecare released updates on state-related Medicaid policies and reimbursement rate increases

The American Association for Homecare (AAHomecare) released updates on state-related Medicaid policies and reimbursement rate increases. 

Virginia Gains in CRT, NIV and Enteral Policies

Virginia Medicaid durable medical equipment (DME) policy was updated on Jan. 1 to include several revisions sought by industry advocates. Key changes include:

This partnership and investment will help to accelerate WellBe's national expansion

CHICAGO—WellBe Senior Medical, an in-home value-based care provider to the Medicare Advantage population, announced an investment from CVS Health Ventures, the corporate venture capital arm of CVS Health. This partnership and investment will help to accelerate WellBe's national expansion. Currently, WellBe operates in seven states and has more than 107,000 Medicare Advantage members and over $2 billion in premium under management.

Under its new brand name, Aeroflow Health aims to reinforce its position as a personalized health partner with a commitment to positively impact health outcomes

ASHEVILLE, North Carolina—Aeroflow Healthcare, a health care company that leverages technology to support the delivery of medical products and services, announced it has rebranded to Aeroflow Health. As a personalized health partner, the company said the rebrand emphasizes its aim to provide patients with easy access to integrated health solutions covered by their insurance.

Atlantic Home Health Care allegedly falsely billed the Energy Program for in-home nursing and personal care when its employees were not physically present in patients’ homes

ARIZONA—Atlantic Home Health Care LLC (AHH), a home health care agency operating in Arizona and eight other states, has agreed to pay $9,990,944 to resolve allegations that it violated the False Claims Act by submitting false claims to the Energy Employees Occupational Illness Compensation Program (EEOICP or the Energy Program), a health care program administered by the Department of Labor (DOL) for the benefit of Department of Energy employees and contractors with occupational illnesses.

The paper outlines four key actions that payers can take to ensure continued access to life-sustaining EN

WASHINGTON—In the United States, hundreds of thousands of individuals face the challenges and risks of malnutrition, necessitating life-sustaining enteral nutrition (EN) to receive necessary nutrition and hydration. Delivered through various methods into the gastrointestinal tract, EN is indispensable for individuals with diverse medical conditions either temporarily or as a lifelong requirement.

ResMed informed customers about potential interference with certain medical devices and implants 

SAN DIEGO—ResMed is conducting a voluntary global field action to update its guides for all masks with magnets to inform users about potential magnetic interference when magnets are near certain implants and medical devices in the body. This voluntary field correction does not require a return of a mask with magnets unless the patient is contraindicated.

As MA private plans increase in enrolled numbers, so have concerns about the insurer's sales tactics and misleading coverage claims

This story is republished from KFF Health News—a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

Elizabeth Hernandez submitted claims for genetic tests, DME that weren't needed and telemedicine visits that never occured

MIAMI—A Florida woman was sentenced to 20 years in prison for her role in a scheme to defraud Medicare by submitting more than $192 million in claims for genetic tests and durable medical equipment that patients did not need and telemedicine visits that never occurred. 

The company previously decreased this investment upon a sale of a portion of the venture in November 2021

NASHVILLE, Tennessee—In December 2023, Brookdale Senior Living sold its remaining 20% equity interest in its Health Care Services unconsolidated venture and received aggregate proceeds of approximately $27 million in connection with the transaction. The company previously decreased this investment upon a sale of a portion of the venture in November 2021.