LHC Group CEO: MedPAC ‘Off on Some Island’

In its latest report to Congress, the Medicare Payment Advisory Commission (MedPAC) recommended cutting the home health reimbursement rate by 5% in 2020 while continuing its push for a unified, site-neutral payment system for all post-acute care providers. Those recommendations are short-sighted and fail to recognize the value that home health care providers have created […]

Primary Diagnosis Changes Among PDGM’s Most Overlooked Aspects

The Patient-Driven Groupings Model (PDGM) is just nine months from taking the home health care industry by storm. By now, operators should have started preparing for the sweeping adjustments on tap for 2020 — but taking the right steps at the right time is crucial to ensuring success.   Among its high-level changes, PDGM removes […]

FirstLight Partners with HNC Virtual Solutions, Launches Telehealth Offering

To help its franchise owners diversify revenue, expand their client base and fill gaps within the U.S. health care system, Cincinnati-based FirstLight Home Care has partnered with HNC Virtual Solutions, a global telemedicine software company. While the HNC Virtual Solutions partnership is exclusive to FirstLight — one of the largest non-medical home care franchisers in […]

Thrive: ‘Maniacal’ Finances, Companion Care Help Homewatch CareGivers Agency Ramp Up Revenue

When Reena Sharma opened her Long Island, New York-based Homewatch CareGivers franchise location in 2013, the odds were stacked against her. New York was coming out of a moratorium, which froze licensing for new agencies. Though the state’s Department of Health was accepting applications from new home-based care providers, there was a processing backlog, leaving […]

How to Handle a Home Health Audit, According to a CMS Auditor

If you operate a home health agency, Laura Long and her colleagues are probably the last people you want to hear from. Long is the Medicare operations lead at AdvanceMed, one of five unified program integrity contractors (UPICs) nationwide hired by the Centers for Medicare & Medicaid Services (CMS) to audit and investigation home health […]

Former Senior Housing Executive Building ‘At-Home CCRC’ Business

A North Carolina startup company launched by a former senior housing executive is trying to move the for-profit continuing care retirement community (CCRC) model into the home. Launched at the beginning of February by CEO Katie Davis, CarePods groups older adults looking to age in place into relatively small, 25-member “pods,” with seniors typically living […]

NAHC’s Dombi: PDGM Discriminates Against Community Referrals, RCD Could Haunt Home Health Providers

With a slew of regulatory and legislative changes on the horizon — from the Patient-Driven Grouping Model (PDGM) to the Review Choice Demonstration (RCD) — the home-based care industry is poised for massive transformation. Despite federal challenges, the industry’s outlook is more promising than ever, advocates believe. “The image that you have is so, so […]

Trump Administration Calls for Medicaid Overhaul, $846 Billion in Medicare Cuts

The Trump administration on Monday released its proposed budget for fiscal year 2020, calling for government-wide domestic spending cuts of 5%, a site-neutral payment system for health care providers and a major Medicaid overhaul. The proposed budget — unlikely to make it past a democrat-controlled House of Representatives — also seeks to curb Medicare spending […]

LeadingAge, VNAA and ElevatingHome Pursue Affiliation

Long-term care association LeadingAge — behind only AARP and, perhaps, a handful of other organizations when it comes to tackling aging issues in the United States — may soon become an even bigger player in the home-based care arena. Washington, D.C.-based LeadingAge unveiled plans in February to join forces with the Visiting Nurse Associations of […]

Workforce, Financial Challenges Prompt Hospitals to Outsource Home Health Care

As more types of care move into residential settings, an increasing number of hospitals and health systems are turning to outside home health agencies to either replace, reinforce or manage their own operations. Workforce challenges and financial struggles are often the catalysts behind their decisions to outsource home health offerings, M&A experts say. “It’s a […]