[Updated] CMS to Test Hospice Carve-In Under Medicare Advantage

The Medicare Advantage (MA) carve-in that many industry insiders pegged as “inevitable” has finally arrived. The Centers for Medicare & Medicaid Innovation (CMMI) on Friday morning announced it is expanding the MA Value-Based Insurance Design (VBID) model, using VBID to test out several wide-ranging updates to MA offerings, including a hospice carve-in set to take […]

CMS Announces ACO Overhaul, Enhances Telehealth Options

CMS has released new rules overhauling Medicare’s accountable care organizations (ACO) program. Called “Pathways to Success,” the new policies shorten risk-free periods and offer more regulatory flexibility, including for providing telehealth to people in their homes, among other changes. In recent years, home health companies have become more involved in ACOs, seeing it as an […]

CMS Finalizes OASIS-D Guidance Manual

The U.S. Centers for Medicare & Medicaid Services (CMS) has published a final OASIS-D guidance manual. The updates are scheduled to go into effect Jan. 1, 2019. In general, OASIS-D changes include the removal of more than two dozen items, as well as the addition or revision of several others. Specifically, the manual provides guidance […]

Trumpeted New Medicare Advantage Benefits Will Be Hard For Seniors To Find

Home Health Care News Perspective: With certain non-skilled in-home care services allowable under the Medicare Advantage program in 2019, the home care industry has made landing partnerships with health plans a top priority. But significant opportunities may not arise until 2020, experts predict. Just 3% of MA plans will next year offer in-home support services such as […]

CMS Delays Revising Hospital Discharge Planning Requirements

Hospitals and home health agencies that wanted policymakers to clear up the dos and don’ts of discharge planning are likely facing a longer wait. The Centers for Medicare & Medicaid Services (CMS) opted Friday to extend its timeline for revising hospital discharge planning requirements until at least November 2019. As currently set up, hospital discharge […]

CMS Stands by Behavioral Adjustment Aspect of PDGM

The U.S. Centers for Medicare & Medicaid Services (CMS) released final language Wednesday for its Patient-Driven Groupings Model (PDGM), the sprawling home health payment overhaul that policy experts see as the biggest industry change in decades. Likely to the disappointment of many home health agencies, CMS stood by PDGM’s widely opposed behavioral adjustment aspect. If […]

LHC Group CEO: Organic Growth Strong, PDGM to Spur Acquisition Opportunities

Home health, hospice and personal care giant LHC Group, Inc. (Nasdaq: LHCG) missed its expected revenue mark in an otherwise strong third quarter of 2018. Despite the miss, analysts are encouraged by the Lafayette, Louisiana-based company’s organic growth outlook and its ability to withstand the looming overhaul to the home health payment system. LHC Group […]

Amedisys CEO: Coming Payment Rule Won’t Be ‘Game Over’ in PDGM Battle

Bolstered by healthy growth across all three of its business lines, Amedisys, Inc. (Nasdaq: AMED) achieved strong financial results in the third quarter of 2018. The Baton Rouge, Louisiana-based home health, hospice and personal care company expects that momentum to continue, even as it faces regulatory headwinds coming from the potential new payment overhaul known […]