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 […]

MedPAC Calls for Up to $2 Billion in Home Health Cuts for 2020

The Medicare Payment Advisory Commission (MedPAC) is once again calling for steep cuts to the Medicare base payment rate for home health agencies. MedPAC’s recommendation comes despite the U.S. health care system’s steady march into the home and the fact more care is being delivered in residential settings. Specifically, MedPAC officials are recommending that Congress […]

Court Sides with Home Health Agencies in Reimbursement Fight

A judge has ordered the Texas Health and Human Services Commission (HHSC) to accept telemonitoring reimbursement requests from home health providers, who claim the agency has failed to do so since the beginning of the year. That’s according to the Austin American-Statesman. Previously, Home Health Care News reported on the four home health companies behind […]

NAHC: ‘Public Charge’ Immigration Proposal Would Hurt Home Care Workforce

A proposed change to the nation’s immigration policies could spell further trouble for home care providers that are already facing steep workforce challenges, according to the National Association for Home Care & Hospice (NAHC). In September, the Trump Administration put forward a proposal that would change the so-called “public charge rule.” This change would broaden […]

CMS Fails to Start Home Health Review Choice Demo as Scheduled

The Centers for Medicare & Medicaid Services (CMS) did not meet its publicly announced Monday goal of launching the Review Choice Demonstration (RCD) in Illinois. RCD is a revamped version of CMS’ widely opposed Pre-Claim Review Demonstration (PCRD) from 2016, an initiative that required home health providers to send in their Medicare claims earlier in […]

Vermont Home Health Agencies Face Big Financial Hit Under Proposed Medicare Changes

Seven of Vermont’s 10 home health and hospice agencies will lose significant funding as a result of recent changes to Medicare’s rural add-on payments. In 2018, rural home health agencies across the country received a 3% rural add-on payment increase. The payment bumps, which providers have been receiving for several years, help in dealing with obstacles […]

Upcoming Webinar — Oct. 4: PDGM Impact Roundtable Discussion

Date: Thursday, October 4th Time: 1:00 pm – 2:00 pm Central Time Register Now PDGM is set to disrupt the home health industry and how it does business today. Evaluating and understanding the impact on agencies should be top of mind when planning for the future. This new regulation will require agencies to make substantial changes […]