Creative PDGM Therapy Strategies for Home Health Agencies

When the Patient-Driven Groupings Model (PDGM) takes effect on Jan. 1, 2020, therapy-heavy home health agencies will have to get creative to ensure the new model doesn’t hurt their bottom line.   PDGM eliminates therapy-visit volume as a determining factor in calculating reimbursements, meaning therapy will no longer be a guaranteed revenue-driver for home health […]

[Updated] Industry Insiders: Don’t Overlook CMS’s Dual-Eligibles Directive

*Editor’s note (4/30/2019): This story has been updated to include comments from Hometeam CEO Randy Klein. Home-based care providers continue to show their support for the Centers for Medicare & Medicaid Services’ (CMS) move to better coordinate care for Americans who qualify for both Medicare and Medicaid. CMS first announced plans to expand coverage options […]

8% of Senior Living Providers See In-Home Care as a Growth Opportunity

Despite consumer preferences for home-based care, relatively few senior living organizations see it as a potential growth opportunity. Meanwhile, skilled nursing facilities (SNFs) say they’re only losing a fraction of their referrals to home health providers. That’s according to a recent report from Enquire Solutions, a Greenwood Village, Colorado-based customer relationship management (CRM) and contact […]

Volume, Pricing Gains Help Encompass Health Hit $1.12B in Q1 Revenues

Encompass Health Corp. (NYSE: EHC) saw its home health-related revenue jump in the first quarter of 2019, driven primarily by volume and pricing gains. The Birmingham, Alabama-based company expects more of the same moving forward — even as the home health industry marches toward the Patient-Driven Groupings Model (PDGM). Overall, net operating revenues for Encompass […]

Jefferson Health Using Tech Tool to Fill Communication Gaps with Home Health Partners

Jefferson Health — a 14-hospital system with more than $5 billion in revenue — is turning to a social media-inspired technology platform to fill communication gaps with its home health partners. The platform comes from Chicago-based Prepared Health, which helps hospitals connect and collaborate with the post-acute providers taking care of their patients following discharge […]

Senior Housing Will Be Too Pricey for 54% of Mid-Income Older Adults by 2029

By 2029, nearly 8 million middle-income older Americans won’t be able to afford senior housing at today’s average market rates, new research shows. While the statistics have negative implications for the senior housing industry, they create opportunities for home-based care providers, whose services are often the least expensive option for seniors. The findings come from […]

Home Health Industry Reacts to CMS Value-Based Primary Care Initiative

Health care policymakers on Monday unveiled a new voluntary risk-based initiative designed to reward physicians who keep patients at home and away from hospitals. Based upon the work of previous administrations, the new initiative marks a major inflection point for the value-based transformation of the U.S. health care system, according to Department of Health and […]

HCAP Partners Invests in Mission Healthcare, Nova Leap Completes Home Care Acquisition

HCAP Partners invests in Mission Healthcare In the midst of growing interest in the home health care space from private equity investors, HCAP Partners has invested in Mission Healthcare. Investment terms were not disclosed. Mission Healthcare — which has more than 600 employees — is a San Diego-based home health and hospice services provider with […]

Daily Pay for Caregivers Helps BrightSpring Improve Recruitment, Retention

As the aging population continues to grow, so does the need for home-based care services. But supply isn’t keeping up with demand when it comes to the caregivers required to provide those services, creating fierce competition for workers. To win over prospective employees, at-home care providers must differentiate themselves. For BrightSpring Health Services, that means […]

Humana Releases ‘Unhealthy Days’ Update, Explores More In-Home Care Opportunities

An initiative by Humana (NYSE: HUM) that addresses social determinants of health posted positive results in five of seven target communities in 2018. On average, Humana Medicare Advantage (MA) members in participating communities saw a 2.7% reduction in “unhealthy days” experienced in 2018, according to the insurer’s 2019 Bold Goal progress report. Unhealthy days are […]