Survey: 80% of Home Health Agencies Experiencing Early Reimbursement Turbulence

Under the Patient-Driven Groupings Model (PDGM), 80% of home health agencies are experiencing a difference in reimbursement compared to the old Prospective Payment System (PPS). Of those, the vast majority — 82% — are experiencing a decrease in reimbursement. That’s according to a recent survey of 127 home health agencies conducted by information technology firm […]

‘Wake-Up Call’ Prompts $8.5M Emergency Reimbursement Effort

The shutdown of a major nonprofit home care provider in one state has motivated lawmakers to seek emergency action to the tune of $8.5 million. The move is a reminder of how important home-based care has become for state policymakers. Maine State Senator Shenna Bellows, a Democrat, recently announced plans to introduce emergency legislation that, […]

‘The Elephant in the Room’: Transparency, Training Keys to Overcoming PDGM’s Therapy Challenges

The much anticipated launch of the Patient-Driven Grouping Model (PDGM) has come and gone. Nearly two months later, one of the biggest early storylines is the way it has affected therapy visits and therapists themselves. PDGM’s therapy impact appears to — at the very least — be manifesting itself anecdotally in the form of layoffs, […]

Dombi: Time to Make Senior Care a National Priority

U.S. Rep. David Cicilline (D-R.I.) is sponsoring a resolution to once again amplify aging-related issues through the Permanent Select Committee on Aging. The committee would aim to better address various issues that affect seniors, such as housing, long-term care and poverty, among others. A lot of the panel’s focus on its first near 20-year run […]

Home Care Workers Urge Presidential Candidates to Address Caregiver Crisis, Raise Wages

With less than nine months before the 2020 U.S. presidential election, home care workers in early primary states are urging remaining presidential candidates to address the ongoing caregiver crisis and raise wages. Nationally, the demand for caregivers continues to grow, as an estimated 10,000 adults turn 65 every day. And while home care is one […]

Senate Bill Seeks to Create New Home-Based Care Delivery Systems, Boost Caregiver Wages

In an effort to address the growing demand for home care services and worsening labor crunch, one U.S. lawmaker has introduced a bill that could help providers raise wages for their caregivers. Sen. Bob Casey (D-Pa.) introduced S. 3277 — the Home and Community-Based Services (HCBS) Infrastructure Improvement Act — into the U.S. Senate on […]

Senator Collins: Penalizing Providers with PDGM’s Behavioral Adjustment ‘Makes No Sense Whatsoever’

The ability for non-physician practitioners to certify a patient’s eligibility for home health coverage. Extending the 3% home health rural add-on. The creation of a national home care workforce strategic plan. These were just a few of the topics home health advocates discussed Wednesday morning during a dedicated hearing in front of the U.S. Senate’s […]

Federal Lawmakers Look to Handcuff CMMI

Bipartisan lawmakers introduced a bill on Monday that would increase oversight and require more transparency from the Center for Medicare & Medicaid Innovation (CMMI), the U.S. Department of Health & Human Services (HHS) branch that tests new payment models and delivery options. The bill, dubbed the “Strengthening Innovation in Medicare and Medicaid Act,” could handcuff […]

Long-Term Care Commission: Caregivers Should Be Paid At Least 125% of Minimum Wage

In order to attract caregivers into the home care workforce, one state’s labor commission is calling for something radical: a requirement to ensure they’re paid at least 125% of the state’s existing minimum wage. Overall, state-mandated minimum wage hikes have become somewhat commonplace in recent years. At least 21 states, for example, started 2020 with […]