PDPM Speed Bumps Hint at Unexpected PDGM Challenges to Come

With less than two months left on the clock before home health agencies take their shot at the Patient-Driven Groupings Model (PDGM), questions regarding industry preparedness and education continue to swirl. Some, however, say those questions are better aimed at the Centers for Medicare & Medicaid Services (CMS). Similar to home health providers, CMS regulators […]

Government-Run ‘Caregiver Peace Corps’ Unlikely to Dent US Home Care Business

Currently, there’s the Peace Corps for U.S. volunteers looking to make a socioeconomic difference abroad. Soon, there might be something for prospective caregivers looking to make a difference at home. In the midst of the dire caregiver crisis plaguing the home care industry, the Administration for Community Living (ACL) is now working to establish a […]

Aetna Medicare CMO: Home-Based Care Now Critical Part of Health Care Ecosystem

When Aetna, a CVS Health company (NYSE: CVS), announced 2020 Medicare Advantage (MA) offerings, the company set out to go beyond simply offering its members a list of benefits. Instead, the company wanted to take a more holistic approach to health, stressing that individuals’ social and personal needs play key roles in keeping them healthy.  […]

LHC Group CEO Calls for Medicare Payment Transparency as Company Hits Major Milestone

LHC Group Inc. (Nasdaq: LHCG) — one of the two largest, independent home health, hospice and personal care companies in the U.S. — has hit a major milestone in its 25-year history. The Lafayette, Louisiana-based company officially crossed the 100,000-patient mark. In addition to being a personal achievement for Chairman and CEO Keith Myers — whose […]

Why CMS’s New Home Infusion Benefit Falls Short — And How to Fix It

The recently finalized home infusion benefit from the Centers for Medicare & Medicaid Services (CMS) has created moderate excitement within the home health community, with some providers seeing newfound opportunities to expand their business offerings. Those who currently provide home infusion services, however, have called CMS’s new benefit “deeply flawed.” CMS finalized a permanent home […]

12% of Medicare Advantage Plans Will Offer Expanded Supplemental Benefits in 2020

The Medicare Advantage boom for home care is almost here. Ever since the Centers for Medicare & Medicaid Services (CMS) first expanded the scope of Medicare Advantage (MA) supplemental benefits in April 2018, at-home care providers have been trying to figure out they fit into a potentially new reimbursement puzzle. At least initially, it appeared […]

Post-Acute Care ‘Food Fight’ Brewing in Washington

There’s a political food fight brewing in the nation’s capital, health care policy insiders told Home Health Care News. And a possible overhaul to the entire post-acute care (PAC) sector is to blame. “One of the things I’m hearing out of Washington is that there are some stakeholders in the post-acute care space interested in […]

[Updated] CMS Lowers PDGM’s Behavioral Adjustment, Finalizes RAP Elimination Plan

The Centers for Medicare & Medicaid Services (CMS) on Thursday finalized the Patient-Driven Groupings Model (PDGM) for 2020, in addition to its plan to phase out home health pre-payments and introduce a new home infusion therapy benefit. But perhaps the biggest news for U.S. home health providers is a major update to PDGM’s widely opposed […]

PDGM Changing Home Health M&A Landscape

With a number of upcoming regulatory changes sure to shake up the home health industry — including the Patient-Driven Groupings Model (PDGM), the Review Choice Demonstration (RCD) and a phaseout of Requests for Anticipated Payments (RAPs) — a provider’s future isn’t exactly clear. As a result, questions surrounding how and when to best approach mergers-and-acquisitions […]