Payment Overhauls to Bring SNFs, Home Health Providers Closer Together

Similar to home health providers facing the Patient-Driven Groupings Model (PDGM), skilled nursing facility (SNF) operators are months away from a major payment overhaul themselves. Effective beginning Oct. 1, the Patient-Driven Payment Model (PDPM) should trigger more collaboration between the SNF and home health worlds — at least in theory. Understandably, the two complex models […]

Outcry Continues Over Law Allowing Caregivers to Poach Home Care Clients

Home care providers and legislators in one state are voicing concerns about recent legislation that would allow caregivers to poach clients from home care agencies without being penalized. The provision was recently written into the Connecticut state budget. It bans noncompete contracts and similar agreements in “homemaker, companion or home health services.” In other words, […]

Legislation Would Allow Caregivers to Poach Home Care Agencies’ Clients

Home care agencies in one state could soon lose the right to prevent caregivers from poaching their clients, a move opponents worry would devastate providers. A provision recently added to the Connecticut state budget bans noncompete contracts and similar agreements in “homemaker, companion or home health services.” If passed, the legislation would remove home care […]

Nonprofit, Health System-Based Agencies Likeliest to Weather PDGM’s Therapy Storm

A huge portion of existing home health agencies will have to rethink how they delivery therapy services in 2020 in response to the Patient-Driven Groupings Model (PDGM) and its sweeping changes. But nonprofit and health system-affiliated home health agencies appear well-positioned to weather the PDGM therapy storm. That’s according to recent findings from a survey […]

Nearly Half of Home Health Providers Expect to Decrease Therapy Utilization Under PDGM

Nearly half of home health providers anticipate decreasing their therapy utilization in 2020 in response to the Patient-Driven Groupings Model (PDGM), a payment overhaul from the Centers for Medicare & Medicaid Services (CMS) that is partially designed to refocus the industry toward nursing. Among its changes, PDGM shifts home health payment away from existing therapy […]

This Critical Combo Could ‘Blow Up’ Home Health Agency Revenue Cycles

The Review Choice Demonstration (RCD) for Illinois home health agencies started on Saturday, with more than three-quarters of providers taking the pre-claim review route. For the most part, affected agencies have expressed confidence moving forward under RCD, an initiative from the Centers for Medicare & Medicaid Services (CMS) meant to curb improper billing. The bigger […]

VNSNY Chief of Provider Services: Home Health Disruption Isn’t ‘an Atomic Bomb’

One of the oldest nonprofit home- and community-based health care organizations in the country is counting on innovative technology and reimbursement models to keep it on the cutting edge in the years to come. As such, preparing for the Patient-Driven Groupings Model (PDGM), pursuing risk-based relationships and exploring predictive analytics are top of mind for […]

Amedisys Execs Share Action Plan for ‘Worst Form’ of PDGM

Despite being one of the largest and most powerful home health companies in the game, Amedisys Inc. (Nasdaq: AMED) isn’t immune to the uncertainty that comes with the looming Patient-Driven Groupings Model (PDGM). The Baton Rouge, Louisiana-based provider has a plan of action, even if the model goes into effect on Jan. 1 as is […]

PDGM Unlikely to be Delayed; Coders Next Home Health ‘Rock Stars’

Despite tenacious rumors, home health owners and operators shouldn’t hold their breath that the Patient-Driven Groupings Model (PDGM) is going to be delayed. All signs still point to a Jan. 1, 2020, implementation date, J’non Griffin, president of full-service consulting company Home Health Solutions LLC told Home Health Care News. “I can’t say definitively because […]