What Home Health Providers Need to Know Before a Medicare Part B Expansion

Home health providers that are looking to tap into new revenue streams may turn to more Medicare Part B services moving forward. But these companies need to have a firm understanding of the reimbursement rules in order for their efforts to be fruitful. The Patient-Driven Groupings Model (PDGM), industry consolidation and the Review Choice Demonstration […]

Humana Helps Fast-Track In-Home Primary Care Company Heal’s Growth with $100M Investment

Health and well-being company Humana Inc. (NYSE: HUM) has spent the past few years adding to its health care services portfolio while aggressively investing around a home-based care strategy. The Louisville, Kentucky-based company has now revealed its latest step in that direction. On Wednesday, Humana announced a wide-ranging strategic partnership with Heal, the in-home primary […]

Early Data Shows PDGM’s Regional Winners, Losers 

The impact of the Patient-Driven Groupings Model (PDGM) doesn’t appear to be universal. In fact, each home health care agency’s performance under the model seems to depend on a few somewhat uncontrollable factors, new PDGM data suggests. “CMS created a model that was based on all claims nationally, but depending on where you are and […]

Emergency Responders, In-Home Care Providers Seek Collaboration — Not Competition

As hospitals continue to experience overcapacity challenges due to the COVID-19 emergency, 911 ambulance crews and community paramedics have found themselves treating more patients at home. Historically, ambulance crews and community paramedics — both of which operate in the emergency medical services (EMS) space — have always provided some degree of care in the home […]

The Number of Medicare-Certified Home Health Agencies Is Dwindling

The number of Medicare-certified home health agencies in the United States is dwindling — and it’s a trend that started long before the Patient-Driven Groupings Model (PDGM) kicked in. From 2018 to 2019, the number of home health agencies dropped by about 3.6%, a decrease of 427 individual providers, according the Medicare Payment Advisory Commission […]

Aging-in-Place Ally Oak Street Health Files to Go Public

Oak Street Health — a network of value-based primary care offices for Medicare beneficiaries — has filed the initial paperwork to go public. The Chicago-based organization announced the news Friday. While Oak Street Health doesn’t provide home health care itself, its interdisciplinary care teams are equipped to provide telehealth visits and in-home care in addition […]

Nearly 70% of ACOs Will Soon Offer Some Type of Home Visits

More than half of all accountable care organizations (ACOs) deliver home-based care to their patients, while an additional 17% have new home visit programs in the works. That’s according to a recent survey of National Association of ACOs (NAACOS) members, conducted in conjunction with the Institute for Accountable Care (IAC) and West Health Institute. Washington, […]

By the Numbers: Breaking Down Home Health LUPA Patterns

In the first three months of the year when home health agencies were adjusting to the Patient-Driven Groupings Model (PDGM), the national low-utilization payment adjustment (LUPA) rate hit 9.5%. LUPA rates reached their height in March, when the coronavirus took the U.S. by storm. Those were just a couple key takeaways from a BlackTree Healthcare […]