Physician Education Likely to Pose Major Challenge Under PDGM

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 […]

LHC Group CEO: Biggest Innovation We Need Is Payment Innovation

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 […]

CMS Announces New Hospital, Home Health Discharge Planning Requirements

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 […]

CMS: Hundreds of Medicare Advantage Plans Preparing to Roll Out New Home Care Benefits in 2020

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 […]

Top PDGM Therapy Myths Busted

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 […]

State Home Health Leaders Go on the PDGM Offensive 

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, […]

Dignity Health Director: Home Health Providers Must Think Strategically in MA Contract Talks

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 […]

Aging-in-Place Program from Johns Hopkins on the Verge of ‘Exponential Growth’

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 […]