PDGM’s Lead Author Gets Candid About Pros, Cons of Revolutionary Model

Set to take effect on Jan. 1, the Patient-Driven Groupings Model (PDGM) is as controversial as it is revolutionary. The model’s therapy changes and behavioral assumptions are two reasons why. Home health operators worry their operations and patients will suffer as a result of those modifications, among others. Even PDGM’s lead author, Lisa Grabert, acknowledges […]

Papa Exploring Medicaid, Employee Benefit Opportunities Following $10M Funding Round

Grandkids-on-demand startup Papa has raised $10 million in Series A funding, pushing the Miami-based company’s total funding raised above $13 million. The recent investment round was led by Silicon Valley-area venture capital firm Canaan, with money also coming in from Sound Ventures, Y Combinator and Pivotal Ventures, a firm created by Melinda Gates. Past big-name […]

Hospital-at-Home Company Contessa Continues 2019 Partnership Boom, Announces Deal with Prisma Health

Contessa Health has entered into an agreement with Greenville, South Carolina-based Prisma Health, marking its third hospital partnership this year and its fifth since the company was founded in 2015. And that won’t be the last deal of 2019 for the Nashville-based hospital-at-home company, according to CEO Travis Messina, who says Contessa has finalized and […]

Addus Closes on Hospice Partners of America; Ensign Group Completes Pennant Spinoff

Addus completes Hospice Partners of America deal Addus HomeCare Corporation (Nasdaq: ADUS) has completed its purchase of Hospice Partners of America. The Frisco, Texas-based at-home care company bought the multi-state hospice provider for $130 million cash — $118.4 million of which was in value and $11.6 million was in estimated tax benefits, according to a […]

CMS Pauses RCD in Two States Ahead of PDGM — But Moves Ahead in Texas

Good news for home health providers in North Carolina and Florida: The Centers for Medicare & Medicaid Services (CMS) will delay the implementation of Review Choice Demonstration (RCD) so agencies can adapt to the upcoming Patient-Driven Groupings Model (PDGM) first. Providers in Texas, however, won’t be as lucky. CMS announced Wednesday it is moving forward […]

Senior Solutions Credits Market Diversification, Bayada Mindset for Its Rapid Growth 

A decade ago, Senior Solutions didn’t exist. Today, the Brentwood, Tennessee-based company considers itself one of the largest family-owned home care agencies in America. Senior Solutions brought in $14.1 million in 2018 revenue, according to Inc. magazine. The home care agency took spot No. 1,827 on the publication’s annual list of the country’s 5,000 fastest-growing, […]

Home- and Community-Based Care Takes Center Stage in 2020 Medicare Advantage Plan Designs

From national plans such as Humana and Cigna to smaller regional ones like SCAN Health Plan, a large number of Medicare Advantage (MA) plans are set to expand their home- and community-based supplemental benefit offerings in 2020. While details remain somewhat sparse, plans officially began announcing their 2020 offerings Monday, ahead of the upcoming annual […]

Home Care Attorney: Bill Eliminating 24-Hour Home Care Shifts Unlikely to Pass

Lawmakers in one state made waves in the home care industry this September when they introduced a bill that would effectively eliminate 24-hour work shifts for caregivers.  Providers in New York, where the legislation was proposed, worry the bill would drastically increase labor costs if passed. But those concerns could be for naught, according to […]