Dombi: Washington cost-cutting may lead to new scrutiny of hospice rates

William Dombi has been too busy working on home care advocacy to relax during his retirement from the National Alliance for Care at Home, he told McKnight’s Home Care in a Newsmakers podcast. Besides working for the law firm Arnall Golden Gregory, he is the board of advisers for New Day Healthcare. With the federal administration honing in on fraud, waste and abuse, Medicaid and hospice are in the crosshairs. The field has been in such a predicament before. The Balanced Budget Act of 1997 brought about a new payment model for home health. Then the Affordable Care Act resulted in the rebasing of home health payment rates, which hurt the industry. Hospice could see a similar rebasing of rates. The new generation of hospice also could see the introduction of Medicare Advantage to hospice. And there may be an expansion of palliative care as well. While there are concerns, there are opportunities in home care as well. There needs to be more education to teach home care about getting involved with hospital-at-home programs and other innovative approaches to care, he said.Follow us on social media:X: @McKHomeCareFacebook: McKnight's Home CareLinkedIn: McKnight's Home CareInstagram: mcknights_homecareFollow Arnall Golden Gregory on social media:X: @agglawLinkedIn: Arnall Golden Gregory LLPShow contributors:McKnight’s Home Care Editor Liza Berger; William Dombi, senior counsel, Arnall Golden Gregory Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.