On March 30, the National Alliance for Care at Home (the Alliance) submitted a letter to Dr. Mehmet Oz, Administrator of the Centers for Medicare & Medicaid Services (CMS), regarding the Request for Information related to Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH).
The Alliance appreciates CMS’s continued leadership in strengthening program integrity and addressing persistent vulnerabilities in the Medicare and Medicaid programs. The Alliance strongly supports efforts to combat fraud, waste, and abuse, and encourages CMS to advance a framework that is precise, targeted, and focused on holding bad actors accountable.
The letter states, “efforts to address fraud should focus on early identification and removal, ideally preventing bad actors from becoming Medicare certified and/or Medicaid enrolled. Efforts to address waste and abuse, however, should focus on prevention and education so that program integrity is strengthened without imposing unnecessary burden on legitimate providers that deliver vital care in the home.”
The Alliance has been deeply engaged in program integrity discussions with CMS, recently submitting a letter with LeadingAge, LeadingAge California, and the California Association for Health Services at Home (CAHSAH). The letter urges CMS to take targeted action to address the concentrated fraud crisis in Southern California while ensuring that a carefully calibrated federal response protects patient access and preserves the ability of trustworthy providers to continue serving their communities.
The Alliance encourages the agency to continue advancing a targeted, risk-based oversight framework that leverages data analytics, AI, and other technology tools to detect and prevent fraud, waste, and abuse. As CMS continues to refine its oversight strategies, we look forward to continued dialogue aimed at strengthening program integrity and protecting legitimate providers and access to care at home.
View the full letter and explore our commitment to program integrity.
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About the National Alliance for Care at Home
The National Alliance for Care at Home (the Alliance) is the leading authority in transforming care in the home. As an inclusive thought leader, advocate, educator, and convener, we serve as the unifying voice for providers and recipients of home care, home health, hospice, palliative care, and Medicaid home and community-based services throughout all stages of life. Learn more at www.AllianceForCareAtHome.org.
Press Contact
National Alliance for Care at Home
communications@allianceforcareathome.org
Hannah Kristan | 202-355-1647