Internal Revenue Service Stepping Up Enforcement of Affordable Care Act

By Guest Writer Gregg Kasubuchi, Vice President at First Capitol Mr. Kasabuchi will speak further on this topic at the Home Care and Hospice Conference & Expo in Seattle this October! Expect the Internal Revenue Service to become more assertive in efforts to enforce the Affordable Care Act in the summer of 2019. IRS staff…

Proposed Rule from CMS Revises Non-Discrimination Regulations

The Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS) have issued a proposed rule significantly revising the non-discrimination regulations that implemented Section 1557 of the Affordable Care Act (ACA). The revisions are intended to reduce burden, eliminate redundancy with several other non-discriminatory regulations, and provide clarity in the…

Administration Budget Calls for Spending Cuts, Prior Authorization, Unified Post-Acute Payment System

On Tuesday the White House released the President’s Fiscal Year 2020 Budget. Released annually, the President’s budget does not carry the weight of law, but does provide a robust view of the administration’s priorities, and the direction it would like to take the country. The Department of Health and Human Services outlined a projected budget…

CMS to Supress RAP Payments on New Home Health Agencies

The Centers for Medicare & Medicaid Services (CMS) issued a Med learn (MLN) Matters® article, SE 19005 that will place all new home health agencies (HHAs) into a provisional period of enhanced oversight. The provisional period will include a suppression of all Requests for Anticipated Payment (RAP) payments for 30 days to 1 year, effective…

Medicare Trust Fund Will be Depleted in 2026

The Medicare trust fund will be depleted in 2026, according too a Medicare Trustees report released Tuesday. That warning is grimmer that last year’s report, which indicated the trust fund would be empty in 2029. The Board of Trustees attributed the worsened outlook to a variety of causes, such as the repeal of the individual…

The Three Threats to Home Health in the FY2019 Budget

On Monday, February 12, President Trump released his Fiscal Year 2019 Budget. This annual event, occurring every February, is required by law, yet the actual document holds no legal authority. Rather it serves as more of a list of desires the President and various agencies would like to see occur. All federal budgeting must be…

The Health Care Implications of the 2018 State of the Union Address

Though discussions and bare-knuckled legislative battles over health care dominated much of 2017, President Trump touched on the subject only briefly during his first State of the Union address on Tuesday, January 30. On the subject of the Affordable Care Act, which Trump and the Republicans failed to overturn in 2017, the President boasted of…