Home Health Agencies Conquering Fear of PDGM Boogeyman

The Patient-Driven Groupings Model (PDGM) was one of the largest concerns for the home health industry after it was finalized by the Centers for Medicare & Medicaid Services (CMS) in October 2019. But now that it has been implemented and agencies have faced their boogeyman, confidence under the new payment model is growing, industry insiders […]

Pennant Group Enters New Joint Venture; Prepared Health Rebrands

The Pennant Group Inc. (Nasdaq: PNTG) announced that a subsidiary of Cornerstone Healthcare Inc. — its home health and hospice portfolio company — has agreed to form a home health joint venture with San Diego-based Scripps Health, a nonprofit health system. The deal is expected to be finalized in the third quarter of 2020. The […]

Aveanna Healthcare’s $1.2B Acquisition of Maxim Collapses Under Weight of FTC Investigation

Atlanta-based Aveanna Healthcare’s agreement to acquire the home health care division of Maxim Healthcare Services — for a reported $1.25 billion — is officially off the table. The deal’s demise comes in the conclusion of a Federal Trade Commission (FTC) investigation. The FTC is the regulatory body tasked with ensuring competition throughout U.S. markets and […]

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 […]