LHC Group CEO Casts Doubt on CMS’s Ability to Manage PDGM

Home health providers may not be the only ones positioned for a rough January 2020. LHC Group Inc. (Nasdaq: LHCG) Chairman and CEO Keith Myers cast a small degree of doubt on the Centers for Medicare & Medicaid Services (CMS) and its ability to manage the implementation of the upcoming Patient-Driven Groupings Model (PDGM). “There […]

MedPAC: Home Health Continues to Shift Away from Post-Hospital Care

Home health providers continue to see a rise in patients coming from the community instead of hospitals and other institutional settings, recently released Medicare data shows. From 2001 to 2017, the number of home health episodes not preceded by a hospitalization or other post-acute care (PAC) stay increased by nearly 124%, according to updated figures […]

Game On: PDGM Encourages Home Health Agencies to ‘Game the System’

When the Center for Medicare & Medicaid Services (CMS) developed the Patient-Driven Groupings Model (PDGM), part of the goal was to fix problems that exist with the currently used Prospective Payment System (PPS). One such problem, government watchdogs say, is agencies prioritizing quantity of care over quality because it often leads to more money. Thus, […]

CVS Launches In-Home Dialysis Pilot

CVS (NYSE: CVS) has entered the in-home dialysis market. The company announced Wednesday it is beginning a clinical trial of its new home hemodialysis system this week. By enabling in-home treatment, CVS could allow patients with end-stage kidney disease to receive more frequent care, with the goal being to improve outcomes.  Typically, patients with kidney […]

At Least 2.5 Million Home Health Patients Using Medical Equipment Vulnerable to Natural Disasters

With Hurricane Barry making landfall in Louisiana earlier this week, severe weather season is officially upon us. While no deaths have yet been reported yet as a result of the storm as of Tuesday, natural disasters such as hurricanes, fires and tornadoes present life-threatening risks for home-based care recipients nationwide, especially those who depend on […]

Beating the Buzzer: Why Timing Is Everything Under PDGM

While timing tweaks haven’t received quite the attention therapy and coding changes have ahead of the Patient-Driven Groupings Model (PDGM), beating the buzzer will be more important than ever for home health agencies when the new model takes effect. For example, the Centers for Medicare & Medicaid Services (CMS) will pay higher reimbursement rates for […]

NAHC’s Dombi: CMS Needs to ‘Back Off’ RAP Proposal, PDGM Assumptions

The looming Patient-Driven Groupings Model (PDGM), a potential hospice carve-in under Medicare Advantage (MA) and the expanding Review Choice Demonstration (RCD) are just a few of the developments reshaping the current landscape of home health and hospice. As if those three items aren’t enough, providers are also facing the continuing Value-Based Purchasing Model (VBPM), emerging […]