With the public health emergency (PHE) set to finally end on May 11, home health stakeholders are finding that the impact won’t be as disruptive as once feared. This is because most of the biggest issues have already been addressed by Congress and the Centers for Medicare & Medicaid Services (CMS). “Congress addressed the face-to-face […]
Virginia Commonwealth University (VCU) Health has rolled out a hospital-at-home program — the first in central Virginia. Richmond, Virginia-based VCU Health is an academic medical center in the Piedmont region. VCU Health at Home’s service lines includes home-based primary care, primary and specialty telehealth appointments, remote patient monitoring as well as skilled home health and […]
Quality Assurance and Performance Improvement (QAPI) programs have been ubiquitous in the home health space for the past few years, but in light of the nationwide expansion of the Home Health Value-Based Purchasing (HHVBP), the process may begin to hold more weight than ever. Broadly, QAPI is a catch-all term for any kind of auditing […]
Following the U.S. Centers for Medicare & Medicaid Services’ (CMS) implementation of the Patient-Driven Groupings Model (PDGM), the total number of home health visits per 30-day period fell by nearly 17%. That’s according to CMS data. Some health care organizations, like AARP, are concerned that this trend may be the result of unintended consequences tied […]
In the new year, a number of states will expand their Program of All-Inclusive Care for the Elderly (PACE) efforts. PACE has been touted not only as a major opportunity for home-based care providers, but also a risk- and value-based program that actually works for seniors when done right. During the height of the pandemic, […]
Utilization of home health services fell in both urban and rural counties from January 2016 to March 2022 in the “high-utilization” categories, in part, due to the rural add-on payments. In 2018, the Centers for Medicare & Medicaid Services (CMS) implemented a rural add-on payment, or a percentage increase, at the request of Congress. That […]
Those in home-based care have seen a lot of government programs over the years, both good and bad. The Money Follows the Person (MFP) program tends to get brought up as part of the former camp – a good one. The program was initially launched in 2007 and was funded by the Affordable Care Act […]
The U.S. Government Accountability Office (GAO) has signed off on the home health payment rule finalized by the Centers for Medicare & Medicaid Services (CMS) last month. After its review, the GAO found that CMS appropriately determined the impact of the difference between assumed versus actual behavior change on estimated aggregate expenditures for home health […]
Rising staffing costs and unfavorable reimbursement dynamics in the home-based care space have created a seller-buyer pricing misalignment that has had ill effects on mergers and acquisitions. After a record-breaking 2021 for M&A in home-based care, the space has seen a sharp decline in deal activity. Although many experts are mostly optimistic about the long-term […]
Care Compare – the all-in-one search tool for consumers seeking home health, hospice and other Medicare-reimbursed health care services – will now include new information on providers’ relationships with doctors and clinicians. The U.S. Centers for Medicare & Medicaid Services (CMS) announced the update on Monday. According to CMS, the new update is meant to […]
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