In the last home health proposed rule from the Centers for Medicare & Medicaid Services (CMS), the federal agency in charge of reimbursement rates sent out a request for information on home health aide utilization. Specifically, the agency wondered why Medicare-covered home health aide visits and utilization had fallen off a cliff over the last […]
Home health providers often make mistakes that leave money on the table at best, and at worst, lead to financial ruin. However, providers that learn to avoid these stumbling blocks will be better positioned to achieve longevity and financial stability. In general, the home health consulting firm SimiTree has noticed an increase in the amount […]
Home care leaders are not just operating in their own individual bubbles. These leaders are part of a larger ecosystem of organizations that make up the home-based care space. In a sea of providers, the best leaders are the ones who are able to recognize which of their home-based care peers are standouts. The ability […]
Medicare Advantage (MA) enrollment has been on a steady climb over the last two decades. As such, home health agencies have started to adjust operations to better fit the payer landscape in the future. Agencies in states like Michigan, Hawaii and Alabama have already had to do that — and those transitions haven’t been seamless. […]
With referral rejection rates skyrocketing to new highs in recent years, home health providers have to be more intentional about maintaining strong relationships with referral sources. In 2022, the industry saw a 76% referral rejection rate, compared to 54% in 2019, according to WellSky data. With this in mind, providers are employing a number of […]
At the end of last month, the U.S. Centers for Medicare & Medicaid Services (CMS) published its home health proposed payment rule for 2024. The proposal, almost immediately, drew a negative response from key home health stakeholders. The main headline was CMS’ decision to propose a home health payment decrease of 2.2%. The proposal also […]
Last month, the U.S. Department of Health and Human Services (HHS) announced that — for the first time ever — it was releasing ownership data for all Medicare-certified home health and hospice agencies. This move makes it possible for anyone to review information on the ownership of agencies participating in the Medicare program. This includes […]
As Medicare Advantage (MA) penetration continues, home health agencies are coming to grips with the additional — and sometimes hidden — costs that are associated with transitioning to a payer mix more dominated by MA. Whether those costs come from operational changes or otherwise, the financial impact of MA’s market penetration can’t be ignored. “To […]
The pursuit of growth is a never-ending journey for home health providers, and there are plenty of ways to err on that pursuit. Many leaders, through observation and first-hand experience, are able to recognize what should be avoided for companies that are aiming to accelerate. To get a better understanding of what home health operators […]
Medicare fee-for-service rates are not where home health providers want them to be. That’s forced their hand when negotiating rates with other payer sources. “We are payer agnostic, but we’re payer selective,” Traditions Health CEO David Klementz said Thursday at Home Health Care News’ Capital + Strategy event in Washington, D.C. Traditions Health is a […]
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