VNSNY Agrees to $57M Settlement in Whistleblower Suit Related to Physician Care Plans

The Visiting Nurse Service of New York (VNSNY) announced Thursday it will pay $57 million to settle a whistleblower lawsuit filed by a former executive more than five years ago. On its end, the record-setting settlement allows VNSNY, the nation’s largest nonprofit home- and community-based care services provider, to move on from a long-running legal […]

Home Health Agencies ‘Starting to Really Figure Things Out’ with PDGM

In recent months, the unexpected and rapid spread of the coronavirus has overshadowed home health agencies’ transition to the Patient-Driven Groupings Model (PDGM). That’s still true throughout much of the country, especially with new COVID-19 hotspots emerging and the federal government’s top infectious-disease expert voicing frustration that Americans aren’t taking the virus seriously. But as […]

Senior Telehealth Use Continues to Rise, Despite Home Health Limitations

The health care sector has long had the capability to use telehealth, but it took the COVID-19 emergency to prompt widespread adoption. After three months of the crisis, emerging data is now making the sweeping rate of that adoption clearer. Seniors are among the most susceptible to the COVID-19 virus. Recently unveiled data suggests that […]

Home Health Care Trends Starting to Emerge After Q1 of PDGM

Medicare-certified home health agencies have now had over a full quarter to adapt to the Patient-Driven Groupings Model (PDGM). While comprehensive claims data is still coming in, a few interesting patterns are already starting to emerge. Among the high-level takeaways, case mixes appeared to be higher during the first quarter than what the U.S. Centers […]

What Increased Bankruptcy Filings Across Health Care Could Mean for Home Health Providers

Industry experts have predicted a rise in home health bankruptcies amid the COVID-19 virus. But home health providers likely won’t be the only ones affected by tighter cash flows and unexpected expenses. Ultimately, there’s likely to be increased bankruptcy filings across health care, particularly in industries such as skilled nursing and senior living. That, in […]

New York Home Health Agencies Facing $200 Million in 2020 Losses Due to COVID-19

From a financial perspective, home health agencies nationwide are struggling to provide care amid the coronavirus. Providers are juggling lower patient volumes and a lack of telehealth reimbursement while also navigating astronomical personal protective equipment (PPE) prices and increased low utilization payment adjustment (LUPA) rates. In New York, those factors and others are expected to […]

COVID-19 Innovation: PACE Organizations Thriving by Shifting More Care into the Home

Amid the COVID-19 outbreak, post-acute care organizations have had to pivot. For Philadelphia-based Mercy LIFE — a Program of All-Inclusive Care for the Elderly (PACE) organization within the Trinity Health Mid-Atlantic system — that has meant closing its adult day centers and shifting care into the home for its 800-plus participants. Buses usually used for […]

Coronavirus Consequence: Home Health Agencies See Spike in LUPAs

Coming into 2020, home health care providers were preparing for drastic changes to the way that low-utilization payment adjustments (LUPAs) were calculated, a nuance of the Patient-Driven Groupings Model (PDGM), which took effect Jan. 1. However, what no one predicted is how the coronavirus would even further rock the LUPA landscape. Amid the COVID-19 emergency, […]