When it comes to the Patient-Driven Groupings Model (PDGM) and common concerns, most home health providers are quick to cite the overhaul’s widely opposed behavioral adjustments or controversial changes to therapy reimbursement. Although those two points are certainly important, PDGM also brings several lesser talked about, hidden challenges to the table as well. At the […]
Category: CMS
When it comes to technology, there’s no shortage of gadgets and gizmos promising to innovate home-based care. In fact, during trade shows, all of the different technology being highlighted can sometimes feel a little like a scene from a science-fiction show. “I think we have seen the future of technology — we just haven’t started […]
The Centers for Medicare & Medicaid Services (CMS) released a final rule Thursday that makes changes to discharge planning requirements for home health providers. Broadly, the changes are part of CMS’s efforts to make patients a more active part of their care transitions out of the hospital and into other settings. “This delivers on President […]
Heal — the doctors on-demand startup that has raised more than $71 million since launching in 2014 — is entering the New York City market. The expansion is yet another example of the momentum Los Angeles-based Heal has built of late, but it also broadly underscores an ongoing “explosion” in demand for home-based care offerings, […]
As more Medicare Advantage (MA) plans prepare to roll out new home care benefits in 2020, premiums are expected to drop 23% next year, the Trump administration announced Tuesday. The news comes as more and more entrants continue to break into the market — and as the Centers for Medicare & Medicaid Services (CMS) prepares […]
With the implementation of the Patient-Driven Groupings Model (PDGM) just months away, therapy-heavy providers are still trying to determine what the payment overhaul will mean for them. With the uncertainty comes misconceptions, which can end up hurting a provider’s bottom line if taken to heart. One of the biggest myths associated with PDGM is that […]
Now that the comment period for the proposed 2020 home health payment rule from the Centers for Medicare & Medicaid Services (CMS) has closed, providers are left waiting to see how things shake out. By far, the most frequently requested change by providers and trade groups alike is the elimination of the Patient-Driven Grouping Model’s […]
On a federal level, the National Association for Home Care & Hospice (NAHC), LeadingAge and the Partnership for Quality Home Healthcare (PQHH) have all ramped up their home health advocacy efforts this summer and in early fall. Increasingly, state home health leaders have joined in on those efforts as well. Over the past three months, […]
As Medicare Advantage (MA) continues to expand rapidly, home health providers will need to develop strategic plans in order to secure successful contracts with plans. “One of the very important pieces here is determining your strategy and learning about your markets,” Paul Giles, director of home health finance and business operations at Dignity Health, said […]
CAPABLE — the innovative program developed out of the Johns Hopkins School of Nursing that combines nursing care, occupational therapy and handyman services — is on the verge of “exponential growth” and one step closer to becoming Medicare-reimbursable. It’s also another example of how complex and comprehensive in-home care is becoming. Since its first pilot […]