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 […]

LHC Group’s Innovation Head: ‘Within 10 Years, We’ll See the End of Fee-for-Service as We Know It’

Thanks to leadership changes at the federal level, the evolution of Medicare Advantage (MA) and a seemingly constant flow of new value-based payment models, providers should begin to plan for the end of fee-for-service Medicare. That’s according to LHC Group Inc. (Nasdaq: LHCG) Chief Strategy and Innovation Officer Bruce Greenstein, who discussed the future of […]

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 […]

Home-Based Care CEOs Dig into the Pros and Cons of M&A

The health services arena recorded more than 1,200 deals in 2019 for the second year in a row, according to the latest figures from international accounting firm PricewaterhouseCoopers. As has become the norm, long-term care was the largest sub-sector by volume throughout 2019 — with particularly strong M&A action in the home health and home […]

Clinical Huddles, Pre-Coding and Wound Care: Home Health Providers Share Tips for Early PDGM Success

When it comes to the Patient-Driven Groupings Model (PDGM), it’s often the seemingly small changes that bring big results. That’s true even for some of the largest U.S. home health providers, including Amedisys Inc. (Nasdaq: AMED), Bayada Home Health Care, Encompass Health Corp. (NYSE: EHC) and Humana Inc. (NYSE: HUM). While it’s still too early […]

Honor Confirms Non-Caregiver Layoffs, Maintains 2020 Growth Goals

Honor — the technology-enabled in-home care provider that partners with traditional agencies through the Honor Care Network — is laying off 35 employees. The company confirmed the layoffs in an email sent to Home Health Care News on Friday. The San Francisco Chronicle was the first to report the layoff news. Founded in 2014, the […]

Physician, NAHC Make Case for Home Care Coverage Under Medicare

Over the past few years, non-medical home care has become a pillar service within the broader health care continuum for its ability to improve outcomes and increase patient satisfaction. Due to that success, some believe home care should be covered under Medicare, just like home health or hospice care. Dr. Laurie Archbald, an associate professor […]

Elder-Well CEO: Home Care’s Rising Costs Creating New Business for Adult Day Operators

Elder-Well, a non-medical social model for adult day care, has begun offering opportunities for entrepreneurs to franchise its service. The franchising play is yet another example of how adult day models are taking off across the U.S. The Framingham, Massachusetts-based Elder-Well was founded in 2014 by home health veterans Kara and Ken Harvey. With nearly […]

Why Home Care Can Still Define Medicare Advantage in 2020

In November, the Better Medicare Alliance and actuarial consulting firm Milliman dropped their latest report detailing how Medicare Advantage (MA) plans were acting on the expanded supplemental benefits rules federal policymakers established over the past couple of years. Home care executives devoured the report, but came away feeling somewhat discouraged by an apparent lack of […]