NAHC’s Dombi: Threat of Payment Cuts Can’t Be Ignored

It’s been a hectic time since Bill Dombi officially took over as president of the National Association for Home Care & Hospice (NAHC) about 11 months ago. Perhaps more than anything, though, it’s been a period punctuated by the introduction of the Patient-Driven Groupings Model (PDGM), the biggest payment overhaul the home health industry has […]

Court Sides with Home Health Agencies in Reimbursement Fight

A judge has ordered the Texas Health and Human Services Commission (HHSC) to accept telemonitoring reimbursement requests from home health providers, who claim the agency has failed to do so since the beginning of the year. That’s according to the Austin American-Statesman. Previously, Home Health Care News reported on the four home health companies behind […]

Home Health Agencies Sue Texas Over Reimbursement Halt

A group of home health agencies is suing the Texas Health and Human Service Commission (HHSC) for allegedly halting reimbursements for telemonitoring services. The agencies claim they will go out of business and deprive Texans of necessary care if the court doesn’t step in. Unidos Healthcare LLC; Corazon Health Care Services LLC; Cleveland Health Care […]

Missouri Home Health Cuts Fall Short of Expectations

In 2017, Missouri lawmakers voted to change how home health funding was distributed by effectively raising the bar on a needs-based patient scoring system. The change, lawmakers had hoped, would cut state spending on home-based services and save tens of millions of dollars in the process. But a recent state audit suggests those savings have […]

Dombi, Myers: Dangerous Assumptions in PDGM Could Disrupt Home Health

Two prominent home health leaders are trying to keep pressure on federal lawmakers to eliminate components of the forthcoming Patient Driven Groupings Model (PDGM). Bill Dombi, president of the National Association for Home Care & Hospice (NAHC), and Keith Myers, CEO of LHC Group (Nasdaq: LHCG) and chairman of the Partnership for Quality Home Healthcare, […]

PDGM Impact Roundtable Discussion — Webinar Thursday, October 4

Date: Thursday, Oct. 4 Time: 1:00 p.m. – 2:00 p.m. CT Register Now The Patient-Driven Groupings Model (PDGM) is set to disrupt the home health industry and how it does business today. Evaluating and understanding the impact on agencies should be top of mind when planning for the future. This new regulation will require agencies to make […]

Legislation Targeting Home Health Reforms Gaining Ground on Capitol Hill

Industry-backed legislative efforts to take the teeth out of proposed home health payment reform are gaining ground on Capitol Hill. On Thursday, Rep. Ralph Abraham (R-La.) introduced H.R. 6932, a new bill that amends several provisions of the Bipartisan Budget Act of 2018 to thwart widely opposed behavioral adjustment aspects of the Patient-Driven Groupings Model […]

House Bill Directs CMS to Issue Long-Delayed PACE Rule

Long-awaited final rules for Programs for All-Inclusive Care for the Elderly (PACE) could be coming this year, thanks to a bill working its way through the House of Representatives. PACE programs utilize mixed funds from Medicare, Medicaid and private sources to offer a full range of services and support to individuals who are at least […]

CMS: Pre-Claim Could Cost Home Health Industry $40 Million Annually

The Centers for Medicare & Medicaid Services (CMS) has—once again—identified Illinois as ground zero for its newly proposed trial run of the pre-claim review demonstration (PCRD) for home health. Other key details of the resurrected model are also starting to emerge, including the proposal’s potential $40 million annual price tag for home health agencies. Under CMS’ […]

Bills Seek to Delay EVV for Home Care

U.S. lawmakers have introduced legislation to delay the mandated implementation of electronic visit verification (EVV) in home care by one year. Under current provisions in the 21st Century Cures Act, a $6.3 billion piece of legislation signed into law under the Obama administration, Medicaid-reimbursed home care providers must begin adopting EVV systems before Jan. 1, 2019. […]