Confessions of a Home Health Financial Expert: PDGM-Related Bankruptcies, Buyouts Will Abound in 2020

Despite all the uncertainty swirling around the Patient-Driven Groupings Model (PDGM), at least one thing is clear: The home health industry is going to look very different a year from now. Come October 2020, the home health space will likely have witnessed a noticeable consolidation from the roughly 11,000 or so freestanding agencies that exist […]

CMS Pumps Brakes on Primary Care First Launch

When the Centers for Medicare & Medicaid Services (CMS) unveiled its new voluntary risk-based in-home primary care initiative in April, home health providers and advocates responded with cautious optimism. For some, that optimism will now have to be put on hold. Although CMS is now accepting applications to participate in its Primary Care First payment […]

Despite Challenges, Some See Upside in PDGM’s Therapy Overhaul

The Patient-Driven Groupings Model (PDGM) is still months away, but its projected impact on therapy utilization is already sending shockwaves throughout the home health industry. With an eye toward 2020, many providers anticipate cutting back on therapy and shifting their business models more toward nursing services, especially when it comes to higher-paying areas such as […]

Nearing $1B in Revenue, Alignment Eyes Home- and Community-Based Care Partners

Newfound Medicare Advantage (MA) flexibilities have encouraged many of the big U.S. insurers to pursue tighter relationships with home- and community-based care providers for the 2020 plan year. But up-and-coming MA players are doing the same, including the still large but slightly lesser-known senior-focused health services company Alignment Healthcare. Alignment revealed several new socially conscious, […]

CMS Wants to Use Artificial Intelligence to Sniff Out Home Health Fraud

Federal watchdogs and health care policymakers are signaling plans to ramp up oversight of fraud, waste and abuse in 2020, especially when it comes to home health and hospice agencies. While the efforts are, in part, linked to the misuse of Medicare dollars by bad actors, they’re also simply a result of the U.S. health […]

Adult Day Industry Trending Toward For-Profit Status, 2020 Boom

Prior to 2014, there were only a few thousand adult day centers operating throughout the United States. Today, there are likely over 10,000 centers in existence, each one trying to make a lasting mark in an extremely fragmented industry. Founded in 1991, Tennessee-based Centennial Adultcare Center is among that group. The medical-model adult day provider […]

Voices: Ian Juliano, CEO, Trella Health

This article is sponsored by Trella Health. In this Voices interview, Home Health Care News sits down with Trella Health CEO Ian Juliano to get his take on today’s market challenges for home health and hospice providers, why coordinated care is well within reach, and how providers can use data to prove their value and […]

Consumer Awareness, Cost Perception Remain Top Challenges for Home Care Industry

Consumer awareness and perceptions regarding the cost of service remain significant challenges for the U.S. home care industry, despite the fact business boomed in 2019. For providers, that means targeted education and outreach need to be priorities moving forward. Historically, word of mouth has largely fueled the utilization of home care services among the general […]

Amazon Unlikely to Pose Immediate Threat to At-Home Care Companies

Amazon (Nasdaq: AMZN) may be charting its own course to in-home care, but the Seattle-based retail and technology giant is unlikely to threaten traditional in-home care providers anytime soon. Nonetheless, providers would be remiss to ignore Amazon’s actions, according to long-time home care leader Mark Heaney. “Amazon makes no small plans, [but] I wouldn’t lose […]

Home Health Advocates Strike Key Victory, Win RCD Delay

Home health advocates have struck an important victory in the battle against the Review Choice Demonstration (RCD). The Centers for Medicare & Medicaid Services (CMS) announced Monday that the agency will delay RCD until March 2. The demonstration had previously been targeted for a Dec. 2 start date, meaning Texas home health providers would have […]