The Medicare Payment Advisory Commission (MedPAC) is launching a study to determine whether the Patient-Driven Groupings Model (PDGM) accurately aligns home health payments with patient care costs. The study, which will analyze data on home health and skilled nursing facility (SNF) payments, will examine patient selection and coding practices that could inflate payments without corresponding […]
Home-based care mergers and acquisitions are changing, not only in how buyers value companies, but also in how buyers and sellers work together after a deal closes. EBITDA alone no longer defines a home-based care company’s worth, and sellers do not always leave after deals, industry experts said at Home Health Care News’ FUTURE conference […]
Team Select Home Care bet $6 million on an unproven concept: that proprietary predictive AI, trained on more than a decade of patient records, could catch subtle clinical decline and keep medically fragile patients out of the hospital. Now, the provider is reporting measurable results — and using them to reshape how it negotiates with […]
Fresh off its buyout by global home care provider Dovida, A Place At Home is now poised to turn its buy-back franchising model into a greater part of its growth strategy. A Place At Home’s franchise model cultivates high-performing local operators and provides eventual exit ramps through corporate buybacks or joint ventures. Company leadership is […]
The home health industry has long organized its business model around episodic, clinician-driven visits, but that traditional framework may struggle to solve a mounting chronic disease crisis, according to industry veteran Paul Kusserow. The industry must evolve beyond a traditional, visit-based clinical model into one that mixes skilled care with family caregiver support, technology and […]
Providers of aging services, including home-based care, have had to adapt to patient trends like higher acuity levels, growing regulatory complexity and ramping need for data and operational sophistication. They are also adapting to new expectations and needs for services. Two service lines that have now become table stakes for providers are behavioral healthcare and […]
Compared to the dealmaking frenzy of five years ago, home-based care M&A is entering a new phase defined by more selective buyers and a greater emphasis on clinically strong, compliant providers, industry experts told Home Health Care News. Buyers emphasizing geographic density and quality outcomes in dealmaking could accelerate dealmaking into the next year and […]
Modivcare’s new CEO of personal care, Marsha Ramos, sees a Medicare home care benefit as a potential turning point for the personal home care industry. But even as attention around home care access grows, she said concerns about fraud, waste and abuse could threaten momentum behind the benefit. In the short term, however, the home-based […]
Home-based care providers are increasingly earning a seat at the table for care-pathway transitions, including whether an inpatient hospital stay is truly necessary before a patient moves to a skilled nursing facility (SNF). Some payers require a two-day hospital stay before authorizing a transition from home to a SNF. But SCAN Health Plan is cutting […]
Processing and maintaining referrals, as well as developing channels to foster new ones, remain common choke points in home-based care. Referral-related challenges emerged as a common theme for operational bottlenecks, industry leaders told Home Health Care News. To ease these burdens, companies are trying out AI tools, clinician-led outreach and tightened relationships with franchise owner-operators. […]
