PDPM Speed Bumps Hint at Unexpected PDGM Challenges to Come

With less than two months left on the clock before home health agencies take their shot at the Patient-Driven Groupings Model (PDGM), questions regarding industry preparedness and education continue to swirl. Some, however, say those questions are better aimed at the Centers for Medicare & Medicaid Services (CMS). Similar to home health providers, CMS regulators […]

13% of Medicare Beneficiaries Have Trouble Paying At-Home Care Bills

The cost of in-home care is rising faster than any other long-term care setting, according to recent data from insurance firm Genworth Financial. With that in mind, it shouldn’t be all too surprising that a sizeable portion of Medicare beneficiaries have a serious problem paying home care bills. In a national survey of more than […]

Home Care Franchises Winning the Sales Game

Jiffy Lube, Motel 6, Great Clips and Culver’s. These are just a few of the U.S. franchise giants that Home Instead Senior Care outsold in 2018. That’s according to the latest Top 200+ ranking from Franchise Times, an annual compilation of top-selling franchises based on systemwide sales. Other home care franchises winning the sales game […]

Not So Fast: Right at Home, Homewatch CareGivers Temper 2020 Medicare Advantage Expectations

U.S. home care providers have likely seen the news: 12% of Medicare Advantage (MA) plans will offer some sort of expanded supplemental benefits in 2020. But while some agencies are enthusiastic about the expansion and preparing for a competitive MA landgrab next year, others are saying “not so fast.” At least 364 MA plans will […]

Senior Executives Predict Strong Home Health, Behavioral Health Growth in 2020

Top health care executives foresee strong home health growth in 2020, despite the upcoming Patient-Driven Groupings Model (PDGM) and other regulatory headwinds. Behavioral health and hospice are likewise poised for a bullish year.  That’s according to Capital One’s annual health care services executive survey, released Wednesday. More than 123 senior health care executives from across […]

LHC Group CEO Calls for Medicare Payment Transparency as Company Hits Major Milestone

LHC Group Inc. (Nasdaq: LHCG) — one of the two largest, independent home health, hospice and personal care companies in the U.S. — has hit a major milestone in its 25-year history. The Lafayette, Louisiana-based company officially crossed the 100,000-patient mark. In addition to being a personal achievement for Chairman and CEO Keith Myers — whose […]

Home Health Industry Gains Ground After Final Rule — But PDGM Behavioral Adjustment Battle Isn’t Over

The Centers for Medicare & Medicaid Services (CMS) released the 2020 home health final payment rule on Oct. 31, reaffirming many aspects of next year’s payment overhaul while also updating certain quality reporting metrics and solidifying changes to policymakers’ maintenance therapy proposal. The National Association for Home Care & Hospice (NAHC) and Axxess were among […]

Humana CEO Broussard: We’re Very Excited About PDGM

Don’t count Humana Inc. (NYSE: HUM) among those worried about the major home health reimbursement overhaul coming up in 2020. While some shun the forthcoming payment changes, Humana is actually excited about them, according to CEO and President Bruce Broussard. In addition to being one of the country’s largest health insurance organizations and a dominant […]

CEO Baier: Brookdale ‘Disappointed’ with Home Health Business

Home health care has not been a bright spot for Brookdale Senior Living Inc. (NYSE: BKD), one of the country’s largest owners and operators of private-pay senior living communities. Instead of helping to drive growth for the Brentwood, Tennessee-based company, home health services have actually been a major letdown, according to President and CEO Lucinda […]

12% of Medicare Advantage Plans Will Offer Expanded Supplemental Benefits in 2020

The Medicare Advantage boom for home care is almost here. Ever since the Centers for Medicare & Medicaid Services (CMS) first expanded the scope of Medicare Advantage (MA) supplemental benefits in April 2018, at-home care providers have been trying to figure out they fit into a potentially new reimbursement puzzle. At least initially, it appeared […]