Senior Helpers, Home Helpers, VNSNY Navigate Industry Headwinds

Despite the growing demand for in-home care, operating home care and home health agencies has never been more complex. Workforce and regulatory challenges are largely to blame — but the roadblocks are not insurmountable, industry leaders say.   Executives from some of the largest home-based care organizations in the U.S. identified their top headwinds — […]

Caregiver Registry Trend Raises Unionization, Privacy Concerns

In an effort to ensure home care workers are adequately screened and trained, a growing number of states are rolling out caregiver registries. But depending on the requirements, some worry the registries could do the home care industry more harm than good. Currently, at least 12 states and the District of Columbia have online training […]

Fair Scheduling Trend Could Spell Trouble for At-Home Care Providers

In recent years and months, rising minimum wage has been top of mind for home-based care providers, adding another level of difficulty to attracting and retaining workers. But fair scheduling legislation that’s gaining steam in cities and states across the country could soon take center stage — and potentially make matters worse. Fair scheduling legislation […]

Cash Flow, Timing and Other Practical FAQs About PDGM Answered

There are just nine months to go before the implementation of the Patient-Driven Groupings Model (PDGM), but many home health care agency owners and operators remain uncertain about what the looming payment overhaul will mean for them.   On a macro level, all home health agencies are waiting to find out if reimbursement changes will […]

Primary Diagnosis Changes Among PDGM’s Most Overlooked Aspects

The Patient-Driven Groupings Model (PDGM) is just nine months from taking the home health care industry by storm. By now, operators should have started preparing for the sweeping adjustments on tap for 2020 — but taking the right steps at the right time is crucial to ensuring success.   Among its high-level changes, PDGM removes […]

NAHC’s Dombi: PDGM Discriminates Against Community Referrals, RCD Could Haunt Home Health Providers

With a slew of regulatory and legislative changes on the horizon — from the Patient-Driven Grouping Model (PDGM) to the Review Choice Demonstration (RCD) — the home-based care industry is poised for massive transformation. Despite federal challenges, the industry’s outlook is more promising than ever, advocates believe. “The image that you have is so, so […]

OIG: Nonprofit Hospital Can Offer Free In-Home Services Despite Anti-Kickback Rules

A hospital can provide free home care to reduce readmissions, despite a federal ban on giving patients freebies that could influence their care decisions. That’s according to a recent advisory opinion from the U.S. Department of Health and Human Services’ (HHS) Office of the Inspector General (OIG). OIG’s advisory opinion comes in response to a […]

Staffing Tops PDGM as Home Health Industry’s No. 1 Challenge

While the Patient-Driven Groupings Model (PDGM) presents several hurdles and ample uncertainty for providers, many still view staffing as the in-home care industry’s No. 1 challenge. Additionally, despite PDGM’s magnitude, a substantial portion of the industry has not yet started to prepare for the overhaul. Those are two of the main takeaways from the 2019 […]

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 — […]