CMMI Initiatives May Fall Short of Previous Savings Projections

The Center for Medicare and Medicaid Innovation (CMMI) will save far less in the coming years than the Congressional Budget Office (CBO) projected, according to an analysis conducted by Avalere. Avalere, a health care research and consulting firm, estimates that CMMI will save $18 billion from 2017 to 2026. The CBO had projected $34 billion […]

Home Health Agencies See PDGM as Major Growth Opportunity

A joint survey from Dallas-based Axxess — a home health technology company — and advisory firm BKD reiterated that the Patient-Driven Groupings Model (PDGM) and staffing are the dominant contemporary concerns among home health agencies. Released earlier this week, the 2020 Industry Trends Report collected responses from employees in many positions at both large and […]

Amedisys CEO: If We Don’t Produce High-Quality Care, We Shouldn’t Be in Business

Amedisys Inc. (Nasdaq: AMED) — the second-largest home health provider in the country, according to LexisNexis — is aiming to become the industry’s leader in employee turnover rates. Just five years ago, the Baton Rouge, Louisiana-based home health giant sported over a 40% turnover rate. That number was lowered to under 16% by the end […]

Lyft, Sutter Health Tackle Home Health Roadblocks in New Transportation Partnership

Ride-hailing giant Lyft Inc. (Nasdaq: LYFT) announced Monday that it’s teaming up with California-based nonprofit health system Sutter Health. And one of the key aims of the partnership is to help Sutter’s home health employees with transportation to and from patients’ homes. With Lyft as a resource, Sutter — a big home health organization in […]

LHC Group Says It’s Not Cutting Therapy Visits Post-PDGM

Now that the Patient-Driven Groupings Model (PDGM) is the new normal, the home health industry is entering the most pivotal time for consolidation since the shift to the Prospective Payment System (PPS). With that in mind, Lafayette, Louisiana-based LHC Group Inc. (Nasdaq: LHCG) expects to see a major spike in terms of market share gain […]

More Home Health Participation Likely, as Number of ACOs Taking Downside Risk Doubles

The latest ACO numbers from the Centers for Medicare & Medicaid Services (CMS) are in — and home health providers should be paying attention. More than two years ago, the Trump administration made major changes to the Medicare Shared Savings Program for accountable care organizations (ACOs), arguably the biggest value-based payment program in fee-for-service Medicare.  […]

DOJ Recoups $2.6 Billion from Home Health Fraud, Other Schemes in 2019

The 2019 fiscal year concluded with the Department of Justice (DOJ) bringing in $2.6 billion in recoveries involving health care fraud and false claims. Home health-related fraud was a large part of these efforts.  This marks the 10th consecutive year that the department’s civil health care fraud settlements and judgments have exceeded $2 billion. The […]

Home Health Insiders Hearing About Agency Exits Less Than 10 Days into PDGM

We’re less than 10 days into the Patient-Driven Groupings Model (PDGM), but already some industry experts are hearing about the forthcoming shutdown of home health agencies. PDGM — the biggest home health reimbursement overhaul in two decades — began on Jan.1. “Right now, it’s really early to see some of these scenarios,” Mike Dordick, president […]