LHC Group CEO Urges Congress to Support PDGM-Altering Bill

LHC Group (Nasdaq: LHCG) Chairman and CEO Keith Myers is again calling on Congress to pass legislation refining the assumption-based payment adjustments currently outlined under the Patient-Driven Groupings Model (PDGM). The co-founder of the Lafayette, Louisiana-based company recently penned an article in The Hill emploring legislators to pass S. 433, a new bipartisan bill that […]

CMS Proposes Rules to Improve Data Sharing Between Health Care Providers, Insurers

The Centers for Medicare & Medicaid Services (CMS) is taking further steps to cure lack of interoperability within the health care system, an issue that has long plagued the home health industry. On Monday, CMS released proposed rules that require many providers and insurers to adopt a secure, standard format for electronic patient data by […]

Court Ruling Goes Against Pro-Home Health Provider Medicare Recoupment Trend

A recent court ruling against a home health care company could mean trouble for providers struggling financially as a result of Medicare recoupment, at least one legal expert believes.   Currently, home health care providers that are overpaid for Medicare services are not required to repay the Centers for Medicare & Medicaid Services (CMS) while […]

CBO: 2019 Will Be Tipping Point for Federal Spending Tied to Older Adults

The aging population of the United States and the rising cost of health care will likely cause federal spending to skyrocket over the next decade — with a noticeable spike surfacing even sooner than previously anticipated. Federal spending on programs that provide services for adults age 65 or older — Medicare and Social Security, namely […]

How Home Health Agencies Can Prepare for, Fight PDGM

When it takes effect next year, the Patient-Driven Groupings Model (PDGM) from the Centers for Medicare & Medicaid Services (CMS) is expected to revolutionize home health agency operations and double billing efforts. As the biggest payment overhaul in years, it’s crucial for providers to spend 2019 preparing for — and fighting certain aspects of — […]

Shifting ACO Rules Create Uncertainty for Home Health Agencies

Home health agencies are still unsure what a recent overhaul of Medicare’s accountable care organization (ACO) program means for them. They will be affected, experts say, but how and to what extent remains unclear. Called “Pathways to Success,” the new policies for ACOs were announced by the Centers for Medicare & Medicaid Services (CMS) about […]

‘Drive to Home,’ Medicare Changes Are Creating More Integrated Senior Care

In years to come, cross-continuum collaboration and the formation of integrated care delivery models that keep people away from hospitals will be the main catalysts for lowering U.S. health care spending. For senior housing, assisted living and independent living providers, in particular, that makes establishing relationships with home- and community-based partners all the more important. […]

Telemonitoring May Cut Costs, Not Hospital Admits, for Heart Patients

Telemonitoring has long been touted as a way to reduce hospitalizations. But when paired with home health care for heart failure patients, that may not always be the case. Still, there are reasons — from both a cost and outcomes perspective — for home health providers to consider implementing telemonitoring for this patient group. That’s […]

CMS Announces ACO Overhaul, Enhances Telehealth Options

CMS has released new rules overhauling Medicare’s accountable care organizations (ACO) program. Called “Pathways to Success,” the new policies shorten risk-free periods and offer more regulatory flexibility, including for providing telehealth to people in their homes, among other changes. In recent years, home health companies have become more involved in ACOs, seeing it as an […]

Home Health and Hospice Admissions, Utilization Continue To Rise

Home health and hospice admissions in the U.S. continued to rise in the second quarter of 2018. Meanwhile, utilization remained steady in home health care and continued to increase in hospice. That’s according to the latest quarterly trends report from analytics and metrics firm Atlanta-based Excel Health, which offers on-demand, cloud-based data solutions for some […]