HHS Secretary: ‘We Want to Go Further’ with Medicare Advantage In-Home Benefits

Medicare Advantage plans could get even more flexibility to address social determinants of health for beneficiaries if Health and Human Services Secretary Alex Azar has his way. In turn, that could mean even more opportunities for home care providers to offer and be reimbursed for services such as companion care, bathing, transportation and more. “Our […]

Strategic Home Health Visits Key to Cutting Sepsis Readmissions

When implemented strategically, home health care could play a vital role in reducing hospital readmissions for patients recovering from sepsis, a new study suggests. Specifically, sepsis survivors who received a home health visit within 48 hours of hospital discharge and at least one more visit in their first week post-discharge combined with a physician visit […]

Game On: PDGM Encourages Home Health Agencies to ‘Game the System’

When the Center for Medicare & Medicaid Services (CMS) developed the Patient-Driven Groupings Model (PDGM), part of the goal was to fix problems that exist with the currently used Prospective Payment System (PPS). One such problem, government watchdogs say, is agencies prioritizing quantity of care over quality because it often leads to more money. Thus, […]

Amedisys Exec: Payers’ Interest In Home-Based Care ‘Higher Than Ever’ — But Misconceptions Remain

For years, many in the health care industry considered non-medical home care the black sheep of the family, if part of the bloodline at all. The important intervention proven to help keep seniors out of the hospital and cut health care costs was often written off as a luxury service — and even labeled “non-skilled,” […]

CVS Launches In-Home Dialysis Pilot

CVS (NYSE: CVS) has entered the in-home dialysis market. The company announced Wednesday it is beginning a clinical trial of its new home hemodialysis system this week. By enabling in-home treatment, CVS could allow patients with end-stage kidney disease to receive more frequent care, with the goal being to improve outcomes.  Typically, patients with kidney […]

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 […]