First Few Months of PDPM Triggered Higher SNF Payments. Will PDGM Do the Same?

The Patient-Driven Payment Model (PDPM) — another Medicare payment overhaul in the skilled nursing facility (SNF) arena — could serve as an indicator for what the coming months will look like under the Patient-Driven Groupings Model (PDGM). Naturally, home health owners and operators have been paying attention. PDPM launched on Oct. 1, which has given […]

CMS Administrator Seema Verma: Home Health Compare Overhaul Is on Its Way

The Centers for Medicare & Medicaid Services (CMS) announced Thursday that users of Home Health Compare — its consumer-facing database of home health provider quality information — can expect to see a major revamp. CMS plans to roll Home Health Compare and seven other Compare sites into one tool called “Medicare Care Compare” sometime this […]

Illinois Reaches ‘Historic’ Wage Increase Agreement with Home Care Workers

In what is being called a historic step forward on the wage and labor front, the state of Illinois recently reached two contract agreements with SEIU Healthcare Illinois — covering 30,000 home care workers. “After years of instability, I’m proud these contracts deliver good wages and good benefits to the people who offer this critical […]

CMMI Initiatives May Fall Short of Previous Savings Projections

The Center for Medicare and Medicaid Innovation (CMMI) will save far less in the coming years than the Congressional Budget Office (CBO) projected, according to an analysis conducted by Avalere. Avalere, a health care research and consulting firm, estimates that CMMI will save $18 billion from 2017 to 2026. The CBO had projected $34 billion […]

HCAOA Names Home Helpers CEO as Board President; CMS Chief Medical Officer Leaves for Humana

HCAOA elects new board president The Home Care Association of America (HCAOA) has elected Emma Dickison as the new president of its board of directors. Washington, D.C.-based HCAOA represents nearly 3,000 companies that employ more than 500,000 caregivers. Dickison brings her background as CEO of Home Helpers Home Care — a company she’s been with […]

More Home Health Participation Likely, as Number of ACOs Taking Downside Risk Doubles

The latest ACO numbers from the Centers for Medicare & Medicaid Services (CMS) are in — and home health providers should be paying attention. More than two years ago, the Trump administration made major changes to the Medicare Shared Savings Program for accountable care organizations (ACOs), arguably the biggest value-based payment program in fee-for-service Medicare.  […]

Home Health Insiders Hearing About Agency Exits Less Than 10 Days into PDGM

We’re less than 10 days into the Patient-Driven Groupings Model (PDGM), but already some industry experts are hearing about the forthcoming shutdown of home health agencies. PDGM — the biggest home health reimbursement overhaul in two decades — began on Jan.1. “Right now, it’s really early to see some of these scenarios,” Mike Dordick, president […]

Anthem, Aspire Exec Brad Smith to Lead Medicare’s Innovation Center

The Centers for Medicare and Medicaid Innovation (CMMI)’s new director is Brad Smith, the U.S. Department of Health and Human Services (HHS) announced Monday. Previously, Smith co-founded and worked as the CEO of the home-based palliative care provider Aspire Health before it was sold to national insurance giant Anthem in May 2018. He most recently […]