When CEO Randy Klein took over Hometeam about a year ago, he was tasked with leading the private equity-backed home care company into a new era. The New York-based startup had recently switched from its direct-to-consumer business model to one based on partnering with other agencies and insurers. It also moved from a payment structure […]
Medicare Advantage (MA) enrollment is expected to skyrocket in coming years, with more than one-third of Medicare beneficiaries currently signed up. But the pace of the great MA migration may be slower than originally anticipated — and vastly different across state lines. For home care providers, this means there could be fewer older adults with […]
Technology is key to helping accountable care organizations (ACOs) coordinate better patient care — yet ACOs still aren’t leveraging health IT to its full potential. That’s according to a report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG). OIG officials interviewed providers and staff from six different ACOs […]
Addressing social determinants of health is especially important for Medicare Advantage (MA) beneficiaries, as they are increasingly affected by a lack of services targeting those needs, which include access to and quality of housing, food and transportation, among other socio-economic factors. That’s according to a recent report from Avalere Health, a Washington, D.C.-based health care […]
Despite being one of the largest and most powerful home health companies in the game, Amedisys Inc. (Nasdaq: AMED) isn’t immune to the uncertainty that comes with the looming Patient-Driven Groupings Model (PDGM). The Baton Rouge, Louisiana-based provider has a plan of action, even if the model goes into effect on Jan. 1 as is […]
While the number of home health workers per capita available to seniors in the U.S. is increasing, those employees are seeing a population with more behavioral health challenges than they have in years past. Those are just a few select findings from the American Health Rankings 2019 Senior Report from the United Health Foundation, a […]
Home health providers from coast to coast are scrambling to prepare their operations ahead of the Patient-Driven Groupings Model (PDGM) — but what comes after the new model’s implementation could cause agencies an even bigger headache. In the months after PDGM goes into effect, home health audits — much like bankruptcies — are expected to […]
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 […]
*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 […]
The Centers for Medicare & Medicaid Services (CMS) announced plans Wednesday to expand coverage options for Americans who qualify for both Medicare and Medicaid, giving states the freedom to develop their own programs for dual-eligible beneficiaries. While the directive doesn’t outline specific opportunities for home-based care providers, the move is still encouraging for the industry, […]
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