NAHC’s Dombi: CMS Needs to ‘Back Off’ RAP Proposal, PDGM Assumptions

The looming Patient-Driven Groupings Model (PDGM), a potential hospice carve-in under Medicare Advantage (MA) and the expanding Review Choice Demonstration (RCD) are just a few of the developments reshaping the current landscape of home health and hospice. As if those three items aren’t enough, providers are also facing the continuing Value-Based Purchasing Model (VBPM), emerging […]

CMS’s Proposal to Eliminate RAPs, Increase PDGM’s Behavioral Adjustment ‘Death by 1,000 Cuts’

Home health operators and industry advocates are voicing their concerns following a proposal from the Centers for Medicare & Medicaid Services (CMS) to eliminate home health pre-payments and move forward with behavioral assumptions under the Patient-Driven Groupings Model (PDGM). Specifically, many worry the proposed changes will create cash flow problems for home health agencies, which […]

[Updated] CMS Proposes Elimination of RAPs, $250 Million Medicare Payment Increase

The Centers for Medicare & Medicaid Services (CMS) is moving forward with many of the provisions originally included in the Patient-Driven Groupings Model (PDGM) while also proposing to implement a new home infusion benefit, eliminate home health pre-payments and make Value-Based Purchasing Model (VBPM) performance data public. CMS detailed its plan for PDGM and other […]

How LCS Built a Home Health ‘Sweet Spot’ in Its CCRC Network

Traditionally, home health services have often targeted older adults living in the broader community. Third-party management company LCS, however, has found a home health sweet spot within its vast network of continuing care retirement communities (CCRCs). Started in 1971 as a subsidiary of Des Moines, Iowa-based The Weitz Corporation, LCS provides broad-based services for the […]

Institute for Accountable Care Director: Home Health Providers, ACOs Need to Get on Same Page

For many Accountable Care Organizations (ACOs), having a strong presence in the home has been a vital strategy for improving care management and identifying patient needs. Even so, many ACOs carry out that strategy with in-home visits from primary care practitioners — and not necessarily dedicated home health providers. That may change in years to […]

Contessa Wins Another Health System Partner; $1.5M Acquisition to Round Out New Post-Acute Care Company

Ascension Saint Thomas, Contessa partner to offer home recovery care Ascension Saint Thomas is partnering with Contessa to bring hospital-level care into the home starting this fall. The pair will do so through Nashville-based Contessa’s home recovery care program, which is built to provide in-home acute care for a fraction of the cost of a […]