At Least 2.5 Million Home Health Patients Using Medical Equipment Vulnerable to Natural Disasters

With Hurricane Barry making landfall in Louisiana earlier this week, severe weather season is officially upon us.  While no deaths have yet been reported yet as a result of the storm as of Tuesday, natural disasters such as hurricanes, fires and tornadoes present life-threatening risks for home-based care recipients nationwide, especially those who depend on […]

Beating the Buzzer: Why Timing Is Everything Under PDGM

While timing tweaks haven’t received quite the attention therapy and coding changes have ahead of the Patient-Driven Groupings Model (PDGM), beating the buzzer will be more important than ever for home health agencies when the new model takes effect.   For example, the Centers for Medicare & Medicaid Services (CMS) will pay higher reimbursement rates for […]

Why Staying Small Is a Strength for Broad Street Home Care

In today’s hyper-competitive, ultra-fragmented home care industry, scale is often seen as a strength, especially when it comes to forming relationships with health systems and Medicare Advantage (MA) plans. But Wilmette, Illinois-based Broad Street Home Care is bucking that idea, demonstrating there’s no single path for building a profitable business in the home care market. […]

NAHC’s Dombi: CMS Needs to ‘Back Off’ RAP Proposal, PDGM Assumptions

The looming Patient-Driven Groupings Model (PDGM), a potential hospice carve-in under Medicare Advantage (MA) and the expanding Review Choice Demonstration (RCD) are just a few of the developments reshaping the current landscape of home health and hospice.  As if those three items aren’t enough, providers are also facing the continuing Value-Based Purchasing Model (VBPM), emerging […]

CMS’s Proposal to Eliminate RAPs, Increase PDGM’s Behavioral Adjustment ‘Death by 1,000 Cuts’

Home health operators and industry advocates are voicing their concerns following a proposal from the Centers for Medicare & Medicaid Services (CMS) to eliminate home health pre-payments and move forward with behavioral assumptions under the Patient-Driven Groupings Model (PDGM).  Specifically, many worry the proposed changes will create cash flow problems for home health agencies, which […]

[Updated] CMS Proposes Elimination of RAPs, $250 Million Medicare Payment Increase

The Centers for Medicare & Medicaid Services (CMS) is moving forward with many of the provisions originally included in the Patient-Driven Groupings Model (PDGM) while also proposing to implement a new home infusion benefit, eliminate home health pre-payments and make Value-Based Purchasing Model (VBPM) performance data public. CMS detailed its plan for PDGM and other […]

How LCS Built a Home Health ‘Sweet Spot’ in Its CCRC Network

Traditionally, home health services have often targeted older adults living in the broader community. Third-party management company LCS, however, has found a home health sweet spot within its vast network of continuing care retirement communities (CCRCs). Started in 1971 as a subsidiary of Des Moines, Iowa-based The Weitz Corporation, LCS provides broad-based services for the […]

Movers & Shakers: LHC Group Names New CMO, Senior Helpers Adds to Board

LHC Group names new chief medical officer LHC Group Inc. (Nasdaq: LHCG) has appointed Dr. Tricia Nguyen as its new executive vice president and chief medical officer. Lafayette, Louisiana-based LHC Group and its 32,000 employees deliver home health, hospice, personal care and facility-based services to patients throughout 36 states. In her new role, Dr. Nguyen […]