Seeking Sustainable Reimbursement Model, Aging-in-Place Program CAPABLE Lands Partnership with VillageMD

As COVID-19 numbers rise heading into winter, U.S. policymakers and senior care advocates continue to explore new, innovative models that support aging in place. One such model is CAPABLE, an interdisciplinary program out of the Johns Hopkins School of Nursing that combines nursing care, occupational therapy and handyman services. While CAPABLE, which stands for “Community […]

Late RAPs Could Trigger Immediate 20% Payment Reduction in 2021

The U.S. Centers for Medicare & Medicaid Services (CMS) released its final home health payment rule for CY 2021 on Thursday, with essentially no changes to the Patient-Driven Groupings Model (PDGM) or its controversial behavioral adjustment.  In addition to doubling down on PDGM, boosting the home health base payment rate by 1.9% and making minor […]

Encompass Health Gaining Ground with ACOs, But Still Facing Assisted Living ‘Lockdowns’

Hundreds of thousands of dollars’ worth of monthly personal protective equipment (PPE) costs. Nationwide lockdowns of assisted living communities. Continued restrictions on elective surgeries in most markets. These remain just a few of the major pain points that Encompass Health Corp. (NYSE: EHC) and its home health business face amid the COVID-19 pandemic. With 40 […]

Home Health Turnover Rate Hits 22.18%

Home health industry turnover rates have once again worsened in 2020, especially for front-line worker positions. That’s according to the latest Home Care Salary & Benefits Report from the Oakland, New Jersey-based Hospital & Healthcare Compensation Service, which provides salary and benefits studies for the health care sector. The annual report is published with the […]

Honor Raises $140M to Fuel National Expansion

Honor — the technology-enabled home care startup that partners with independent agencies through the Honor Care Network — is gearing up for a major expansion. Those expansion plans are built around a substantial infusion of new capital, too. The San Francisco-based Honor announced Tuesday it has raised $140 million in Series D funding, led by […]

States with the Most ‘Primarily Health-Related’ Medicare Advantage Opportunities for Home Care Agencies

With hundreds of plans reportedly offering in-home support services in 2021, the coming year is certain to bring more Medicare Advantage (MA) opportunities for home care agencies. But some home care operators will have more opportunities than others due to geographic variability across the MA landscape. To find leads, agency leaders will need to understand […]

Nearing 2021 Consolidation Strategy, Trinity Health At Home Keeps Focus on Patient Care

A member of Catholic health system Trinity Health, Trinity Health At Home currently ranks as the eighth-largest home health provider in the country. It will gain even more market share next year, thanks to an ambitious plan to formally consolidate Trinity’s national network of home health agencies with regionally owned affiliates. Despite the advantages of […]

Wildfires, COVID-19 and PDGM: Growing a Home Health Business During Moments of Crisis

Home health agencies are used to operating during moments of crisis. That’s especially true for California-based Medical Home Care Professionals, which has had to overcome several over the past few years. In 2018, for example, Medical Home Care Professionals operated during the historic Carr Fire that devastated nearly 230,000 acres across California’s Shasta and Trinity […]

Medicare Advantage Enrollment Up 125% Among Dual-Eligible Beneficiaries

In-home care providers with a mission to serve particularly vulnerable populations often target “dual eligibles,” or individuals signed up for both Medicare and Medicaid benefits. The focus on dual-eligible populations is partly driven by mission and values, but it’s also supported by reimbursement. While in-home care providers sometimes struggle operating purely in the Medicaid long-term […]