Why Home Health Agencies Should Gear Up for PDGM’s Wound Care Opportunity

Home health providers across the country are fine-tuning their back-office and clinical operations for the intricacies of the Patient-Driven Groupings Model (PDGM). Wound care, in particular, can’t be neglected. Currently, wound care is one of the most frequent clinical groupings and the one utilizing the most in terms of home health resources, according to statistics […]

Amedisys CEO Paul Kusserow: ‘I Don’t Believe PDGM Has Settled Yet’

Amedisys Inc. (Nasdaq: AMED) has long been a home health powerhouse. Under the leadership of CEO Paul Kusserow, however, the Baton Rouge, Louisiana-based provider is steadily building expansive hospice and personal care footprints as well. For proof, look no further than the industry-shaping Compassionate Care Hospice deal for $340 million. Part of Amedisys’s hospice-centric strategy […]

Humana Executives Get Candid About PDGM, Medicare Advantage

Top executives from Humana Inc. (NYSE: HUM) on Wednesday got candid about their home health operations and the expected impact of the Patient-Driven Groupings Model (PDGM). In addition to its long-standing Humana At Home business, the Louisville, Kentucky-based insurance company owns a 40% stake in Kindred at Home, one of the largest home health providers […]

Predictive Analytics-Driven Telehealth Program Lowers ED Visits by 20%

In recent years, the U.S. health care system’s shift toward value-based reimbursement has given home health providers cause to test all sorts of approaches aimed at reducing hospital readmission rates or preventing unnecessary trips to the emergency department. Predictive analytics-driven telehealth outreach programs that risk-stratify patients based on medical vulnerability and other factors can be […]

In Dynamic Industry, At-Home Care Providers See Scale as a Leg Up

In the dynamic home health, hospice and personal care industries, scale is sometimes a serious leg up, as well as a driving force behind record-setting M&A activity. That’s especially true when it comes to keeping up with potential Medicare Advantage (MA) opportunities, collecting actionable data and experimenting with new business models that solve nationwide problems, […]

Volume, Pricing Gains Help Encompass Health Hit $1.12B in Q1 Revenues

Encompass Health Corp. (NYSE: EHC) saw its home health-related revenue jump in the first quarter of 2019, driven primarily by volume and pricing gains. The Birmingham, Alabama-based company expects more of the same moving forward — even as the home health industry marches toward the Patient-Driven Groupings Model (PDGM). Overall, net operating revenues for Encompass […]

Jefferson Health Using Tech Tool to Fill Communication Gaps with Home Health Partners

Jefferson Health — a 14-hospital system with more than $5 billion in revenue — is turning to a social media-inspired technology platform to fill communication gaps with its home health partners. The platform comes from Chicago-based Prepared Health, which helps hospitals connect and collaborate with the post-acute providers taking care of their patients following discharge […]

Home Health Industry Reacts to CMS Value-Based Primary Care Initiative

Health care policymakers on Monday unveiled a new voluntary risk-based initiative designed to reward physicians who keep patients at home and away from hospitals. Based upon the work of previous administrations, the new initiative marks a major inflection point for the value-based transformation of the U.S. health care system, according to Department of Health and […]

CMS: 80% of Home Health Agencies May Have Negative Margins by 2040

Medicare’s Hospital Insurance Trust Fund — which helps pay for Medicare Part A services, including in-patient hospital, skilled nursing facility, hospice and home health care services — is set to go broke by 2026, Trump administration officials reported Monday. What’s more, if current utilization and financial projections prove accurate, the vast majority of home health […]

What Anthem Wants from Its Medicare Advantage Home Care Partners

Geographic alignment and outside-of-the-box thinking are among the qualities Anthem Inc. (NYSE: ANTM) values from its prospective home care partners in Medicare Advantage (MA) plans. An ability to demonstrate the value of in-home care services through data and evidence is also important, Martin Esquivel, vice president of Medicare product development for Indianapolis-based Anthem, told Home […]