Jason Bring Discusses Impact of Medicare Fraud Enforcement on Home Care Providers in McKnight’s Home Care

AGG Post-Acute & Long-Term Care industry team co-chair Jason Bring was quoted in McKnight’s Home Care examining how increased Medicare fraud enforcement efforts are affecting home health and hospice providers. The article is part of reporter Liza Berger’s series exploring the consequences of fraud enforcement actions for legitimate providers.

As federal regulators intensify audits, claim denials, and payment suspensions to combat fraud, providers may face significant financial and operational challenges while contesting enforcement actions. Jason explained that a provider’s ability to continue operating during a Medicare payment suspension often depends on its size and financial resources.

“We have some larger providers who are well capitalized that can handle . . . potentially some benevolence of continuing to operate and accept patients with the hope and expectation perhaps that the suspension will be lifted and they will be able to bill even retroactively for those patients,” Jason said.

However, payment suspensions can create immediate financial pressures for smaller or family-owned providers, threatening their ability to maintain staffing and patient care.

“And they don’t have the resources to continue on that front and make payroll,” Jason explained. “And they’re in the process of making that very difficult and challenging decision of scaling back their workforce that they’ve invested so much time and energy in growing and trying to reduce down to a handful of patients during the suspension period while I’m working to get it lifted.”

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