LHC Group Ready to Jump on ‘Historic’ Consolidation Wave Post-PDGM

In 2019, LHC Group hit the 100,000 mark for its patient census, revved its M&A engine and doubled down on its joint venture strategy with hospitals and health systems. It did all that while aggressively preparing for the Patient-Driven Groupings Model (PDGM) and finalizing the integration of the industry-shaping Almost Family acquisition. For all those […]

Despite Benefits, Reimbursement Roadblocks Still Slowing In-Home Telehealth Adoption

Despite the benefits of telehealth services, the general lack of reimbursement under Medicare has created persistent roadblocks when it comes to widespread adoption among U.S. home health providers. Over the past several years, telehealth services have proven their value when it comes to improving access to care for patients and lowering overall health care costs. […]

CMS Looks to Extend CJR Bundled Payment Model

Federal health care policymakers have introduced a new proposed rule that would extend the Comprehensive Care for Joint Replacement (CJR) bundled-payment model for an additional three years. The proposed rule, released last Thursday, would also expand CJR’s reach to outpatient procedures. Currently, CJR — an area many home health providers have gotten involved with — […]

Encompass Health, Healing Hands, LifeCare See Opportunity in Home Health Compare Overhaul

The U.S. Centers for Medicare & Medicaid Services (CMS) announced last month that Home Health Compare — its consumer-facing database of home health provider quality information — will soon be incorporated with seven other Compare sites to create a larger tool named “Medicare Care Compare.” The goal is to consolidate and make the Compare tool […]

Home Health Providers Lean into Wound Care in Post-PDGM World

One of the many changes brought on by the Patient-Driven Groupings Model (PDGM) is the growing importance of wound care. Several home health providers are now preparing to lean into the wound care opportunity. Nationally, there is a growing need for wound care, as about 8 million Medicare beneficiaries have wound-related conditions. Last year, the […]

AOTA, APTA Sound Off on PDGM’s ‘Terrifying’ Therapy Consequences

Therapy layoffs, conversions to part-time status and general service reductions are beginning to ramp up in the home health space, multiple professional association groups told Home Health Care News. So much so, in fact, the U.S. Centers for Medicare & Medicaid Services (CMS) may be preparing to speak up. The current shift in how and […]

Physical Therapy Proven to Pay Off for Home Health Dementia Patients

Physical therapy (PT) has the ability to improve activities of daily living (ADLs) and functional ability for Medicare home health beneficiaries with dementia, a recent study published by the Journal of the American Geriatrics Society has found. The findings stand as a reminder of the value of PT services, despite ongoing changes under the Patient-Driven […]

CMS Rolls Out New Data on Social Determinants of Health in the Home

Earlier this month, the U.S. Centers for Medicare & Medicaid Services (CMS) released a first-of-its-kind report on social determinants of health (SDoH) among Medicare fee-for-service (FFS) beneficiaries. Home health providers have increasingly turned their attention to SDoH and whole-person care, especially as hospitals and health systems recognize the value of nutrition, transportation and socialization support […]

Calculating the Cost of PDGM: A Case Study with Phoenix Home Care

In the months and weeks leading up to the Patient-Driven Groupings Model (PDGM), many industry insiders predicted the downfall of small and mid-size home health providers due to the disruption of cash flow and therapy utilization, as well as the complicated new documentation and coding processes. It’s undeniable that small and mid-size agencies will feel […]

Encompass Health’s April Anthony: Knee-Jerk Therapy Reactions May Prove Costly

Birmingham, Alabama-based Encompass Health Corporation (NYSE: EHC) — already one of the largest home health providers in the country — is likely on its way to even more growth this year, thanks partly to the expected M&A opportunities linked to the Patient-Driven Groupings Model (PDGM). Internally, coding changes and investments in predictive analytics have helped […]