Clinical Huddles, Pre-Coding and Wound Care: Home Health Providers Share Tips for Early PDGM Success

When it comes to the Patient-Driven Groupings Model (PDGM), it’s often the seemingly small changes that bring big results. That’s true even for some of the largest U.S. home health providers, including Amedisys Inc. (Nasdaq: AMED), Bayada Home Health Care, Encompass Health Corp. (NYSE: EHC) and Humana Inc. (NYSE: HUM). While it’s still too early […]

Signs Point to Non-Physician Home Health Certification Initially Happening Under Medicare Advantage

A bill that would eliminate Medicare’s physician-certification policy has drawn industry-wide support. But the Centers for Medicare & Medicaid Services (CMS) may first opt to test non-physician certification through Medicare Advantage (MA) in lieu of traditional Medicare. The Home Health Care Planning Improvement Act of 2019 — H.R. 2150 — was introduced in April. If […]

Home Health Industry Gains Ground After Final Rule — But PDGM Behavioral Adjustment Battle Isn’t Over

The Centers for Medicare & Medicaid Services (CMS) released the 2020 home health final payment rule on Oct. 31, reaffirming many aspects of next year’s payment overhaul while also updating certain quality reporting metrics and solidifying changes to policymakers’ maintenance therapy proposal. The National Association for Home Care & Hospice (NAHC) and Axxess were among […]

[Updated] CMS Lowers PDGM’s Behavioral Adjustment, Finalizes RAP Elimination Plan

The Centers for Medicare & Medicaid Services (CMS) on Thursday finalized the Patient-Driven Groupings Model (PDGM) for 2020, in addition to its plan to phase out home health pre-payments and introduce a new home infusion therapy benefit. But perhaps the biggest news for U.S. home health providers is a major update to PDGM’s widely opposed […]

Bayada, Health Systems Back CMS’s Discharge Planning ‘Paradigm Shift’

In September, the Centers for Medicare & Medicaid Services (CMS) unveiled a new final rule regarding discharge planning requirements for hospitals and home health providers. The new rule, industry leaders say, will likely create a much needed paradigm shift in the discharge planning process. CMS’s discharge planning rule includes a number of changes that aim […]

Bayada, VNA Health Group Joining Forces to Expand Health System Partnerships

Bayada Home Health Care and Visiting Nurse Association Health Group (VNAHG) have agreed to join forces, the mission-driven nonprofits announced Monday. Strategic partnerships with hospitals and health systems are among the drivers of the move, leaders from the two organizations told Home Health Care News. Under an agreement that’s expected to be finalized by November, […]

PDGM Check-In: ‘There’s a Slight Sense of the Wild West’

With just five full months to go before the Patient-Driven Groupings Model (PDGM) becomes a reality, home health providers have reached crunch time. As it has been all along, the assumption-based behavioral adjustment baked into PDGM remains the home health industry’s No. 1 issue. Orginally, the behavioral adjustment was estimated to create a 6.42% payment […]

Why CMS’s Home Health Therapy Proposal May Not Be Enough

As part of its Patients Over Paperwork initiative and as a way to make home health requirements more consistent with other settings of care, the Centers for Medicare & Medicaid Services (CMS) is proposing to allow therapist assistants to furnish maintenance therapy. Under current home health rules, only physical therapists (PTs), occupational therapists (OTs) and […]