OIG: Medicare Overpaid $267M for Hospital In-Patient Claims with Post-Acute Transfers to Home Health Services

Hospitals improperly coding for post-discharge services contribute to hundreds of millions of dollars in Medicare overpayments. And the majority of incorrect payments are often related to home health services. That’s according to a new audit report from the Department of Health and Human Services (HHS) Office of Inspector General (OIG). The purpose of the OIG […]

How Home Health Agencies Can Demand Higher Valuations in M&A Deals

When it comes to acquiring home health care agencies, buyers can afford to be picky. There are more than 10,000 home health providers nationwide, but typically, only a few dozen deals close per year. Between 2011 and 2014, the market saw an annual average of 80 transactions, according to data from the investment banking company […]

LHC Group CFO: Historic Home Health Consolidation Opportunity Remains ‘Compelling as Ever’

Since the worst stretch of the public health emergency, LHC Group Inc. (Nasdaq: LHCG) has seen a decrease in weekly COVID-related missed visits and improved its average daily census. It has also added thousands of new physician referral sources, a win for the company considering many institutional sources are at a standstill.  Those are just […]

Humana’s Bruce Broussard: Consumer Demand for Home-Based Care Models Will Continue to Increase

Humana’s (NYSE: HUM) long-standing home- and community-based focus served the insurer well in Q2 2020 — a quarter dominated by the COVID-19 emergency. The coronavirus pushed more senior care into the home, boosting business for Louisville, Kentucky-based health insurance giant. As a result, the insurer doubled down on home-based care initiatives in Q2 2020 and […]

Elara Caring Targets Physicians as Home Health Providers Rethink Referrals

In the build-up to 2020 and the Patient-Driven Groupings Model (PDGM), many home health providers began shifting their referral strategies to focus more on hospitals, skilled nursing facilities (SNFs) and other institutional sources. Generally, providers realized that patients coming from such settings likely meant more Medicare dollars under PDGM, especially when patients were also classified […]

CMS: True Telehealth Change Will Require Congressional Action

The Centers for Medicare & Medicaid Services (CMS) has proposed a new rule that would make certain COVID-19-related telehealth flexibilities introduced over the past few months permanent for Medicare beneficiaries. The move comes in conjunction with an executive order from President Trump to improve rural and telehealth access.  While CMS’s proposed rule potentially paves the […]

Home Health to Play Increasingly Important Role in Clinical Research

While the coronavirus has ravaged the nation’s aging population and stretched the U.S. health care system to its limits, every cloud has its silver lining. For home health care providers, one silver lining comes in the form of increased recognition and expanded opportunities. Agencies are seeing higher levels of service demand, fewer recruitment and workforce […]

Encompass Health CEO Mark Tarr: It’s in Every Company’s Best Interest to Make Diversity a Priority

Across the U.S., ongoing protests against police violence toward Black Americans and other people of color have caused many companies to take a closer look at issues pertaining to workplace diversity and inclusion. For some companies, this time has been a call to action, with many announcing plans to develop initiatives aimed at addressing inequality […]