Changemakers: Paul Kusserow, President and CEO, Amedisys

When Paul Kusserow was named CEO of Amedisys Inc. (Nasdaq: AMED) in December 2014, he knew he was taking over a “hub-and-spoke” business model that was in a downward tailspin. One major issue was that Amedisys had “completely lost touch” with the home health care market and the clinicians it’s built on, according to Kusserow. […]

SNF-to-Home Diversion Opportunities Skyrocket for Home Health Providers

The nursing home industry has taken the brunt of the nation’s coronavirus blow, with more than 40% of all U.S. COVID-19 deaths involving skilled nursing facilities (SNFs). Those staggering statistics have prompted fewer seniors to receive care in the setting, both for voluntary reasons and because many SNFs stopped accepting new patients and started discharging […]

Predicting COVID-19’s Long-Term Impact on the Home Health Care Market

The Patient-Driven Groupings Model (PDGM) and its unintended ripple effects were supposed to be the dominant story this year for the nation’s 12,000 or so Medicare-certified home health care providers. But the coronavirus has rewritten the script for 2020, throwing most of the industry’s previous projections out the window. While PDGM — implemented on Jan. […]

Fearing CMS ‘Day of Reckoning,’ Home Health Providers Shy Away from Coronavirus Relief Funds

Home health providers were thrilled when they first heard they would be receiving “no strings attached” payments from the Provider Relief Fund, which was mandated by the CARES Act. However, agencies quickly learned that there was more to the story. The grant funding comes with conditions, and confusion around those conditions has some home health […]

Amedisys Awaiting HHS Clarity Before Deploying $100M in CARES Act Relief Funding

Four months’ worth of surgical masks. Six months’ worth of N95 masks. One month’s worth of gowns — with an additional two months’ worth arriving soon. That’s just a quick snapshot of Amedisys Inc.’s (Nasdaq: AMED) current personal protective equipment (PPE) stockpile. As most in-home providers are facing difficulties securing PPE, Amedisys has, so far, […]

Aging-in-Place Company Amedisys to Acquire AseraCare Hospice for $235 Million

The evolution of Amedisys Inc. (Nasdaq: AMED) continues. The Baton Rouge, Louisiana-based home health, hospice and personal care provider announced early Monday morning that it has a deal in place to acquire AseraCare Hospice for $235 million. As structured, the agreement includes a $32 million tax asset, effectively lowering the overall purchase price to $203 […]

Virtual Care Centers, Visit Cancellations and PPE Challenges: Inside Amedisys’s COVID-19 Response

The U.S. Centers for Medicare & Medicaid Services (CMS) took multiple actions on Monday to further support home health providers affected by the COVID-19 pandemic. Most notably, CMS loosened Medicare’s homebound requirement, suspended its pre-claim review demonstration and announced new telehealth flexibilities. While the “unprecedented” measures are undoubtedly beneficial, the situation on the ground suggests […]

How CMS Could Prevent Home Health Deserts Caused by PDGM

The U.S. Centers for Medicare & Medicaid Services (CMS) may have to get creative if it wants to avoid the formation of home health deserts in 2020 and beyond. One possible solution: revisiting the current six-year overpayment lookback rule. As part of its efforts to curb fraud, waste and abuse, CMS finalized a rule in […]