Amedisys Execs Share Action Plan for ‘Worst Form’ of PDGM

Despite being one of the largest and most powerful home health companies in the game, Amedisys Inc. (Nasdaq: AMED) isn’t immune to the uncertainty that comes with the looming Patient-Driven Groupings Model (PDGM). The Baton Rouge, Louisiana-based provider has a plan of action, even if the model goes into effect on Jan. 1 as is […]

Kindred at Home Exec: Senior Living Operators Should Leave ‘Heavy Lifting’ to Home Health Partners

Senior living providers should embrace home health partnerships as a way to care for complex patients. Those who don’t may not only be hurting patients, but also employee retention and morale. That’s according to Carrie Coumbs, vice president of national care collaboration for Kindred at Home. “If you utilize your home health benefit proactively in […]

States Sue Trump Administration Over Home Care Worker Union Dues

At least five states are suing the Trump administration over a recently finalized rule they say would prevent home health workers paid by Medicaid from having their union dues automatically removed from their paychecks, according to Reuters. States involved in the lawsuit include California, Washington, Connecticut, Massachusetts and Oregon. The states claim the rule weakens […]

Home Health Clinicians Face PDGM Knowledge Gap

The vast majority of home health clinicians currently face a steep uphill climb when it comes to operationalizing the Patient-Driven Groupings Model (PDGM), with slightly less than eight months to go before the payment overhaul goes live, a new survey suggests. Among its changes, PDGM uses 30-day periods as a basis for payment, with each […]

Home Health Audits Expected to Spike in PDGM Aftermath

Home health providers from coast to coast are scrambling to prepare their operations ahead of the Patient-Driven Groupings Model (PDGM) — but what comes after the new model’s implementation could cause agencies an even bigger headache. In the months after PDGM goes into effect, home health audits — much like bankruptcies — are expected to […]

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 […]

Creative PDGM Therapy Strategies for Home Health Agencies

When the Patient-Driven Groupings Model (PDGM) takes effect on Jan. 1, 2020, therapy-heavy home health agencies will have to get creative to ensure the new model doesn’t hurt their bottom line.   PDGM eliminates therapy-visit volume as a determining factor in calculating reimbursements, meaning therapy will no longer be a guaranteed revenue-driver for home health […]

[Updated] Industry Insiders: Don’t Overlook CMS’s Dual-Eligibles Directive

*Editor’s note (4/30/2019): This story has been updated to include comments from Hometeam CEO Randy Klein. Home-based care providers continue to show their support for the Centers for Medicare & Medicaid Services’ (CMS) move to better coordinate care for Americans who qualify for both Medicare and Medicaid. CMS first announced plans to expand coverage options […]