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On April 29, 2024, the U.S. Department of Labor (the “DOL”) issued a final rule (the “Final Rule”) rescinding the 2018 Association Health Plan rule (“2018 AHP Rule”), thereby marking a return to the more rigid pre-2018 regulatory framework governing association health plans. The 2018 AHP Rule, officially titled “Definition of Employer Under Section 3(5) of ERISA – Association Health Plans,” allowed these plans to bypass certain requirements under the Affordable Care Act (“ACA”). The Final Rule will take effect on July 1, 2024.Continue Reading U.S. Department of Labor Rescinds Trump-Era Rule on Association Health Plans (AHPs)

On June 27, CMS issued a proposal for the 2017 Medicare home health prospective payment system (HH PPS).

CMS is proposing a $180 million reduction in 2017. This equates to a 1% drop in reimbursements for home health agencies caring for Medicare beneficiaries. This cut is the next in a series of reductions mandated by the Affordable Care Act. In 2015 the cut totaled $60 million, and in 2016 it totaled $260 million. The ACA called for reductions to home health service agencies to counter overspending dating back to 2000.Continue Reading CMS 2017 Proposal Reduces Home Health Reimbursements by $180 Million