For home health agencies wondering how they’ll fare under the upcoming Patient-Driven Groupings Model (PDGM), data is likely the closest thing they’ll find to a crystal ball. Data can help agencies determine where they stand under the revolutionary new reimbursement model and — in many cases — even guide them to operate more efficiently come […]
Encompass Health Corp. (NYSE: EHC) has lowered internal estimates on how the Patient-Driven Groupings Model (PDGM) will impact its home health operations, though the company remains firmly against assumption-based behavioral adjustments included in the payment overhaul. CEO Mark Tarr — along with home health and hospice segment leader April Anthony as well as other execs […]
Encompass Health Corporation (NYSE: EHC) — the largest operator of in-patient rehabilitation facilities (IRFs) in the country, with a network of hundreds of home health and hospice locations to boot — has agreed to pay $48 million to resolve false claims allegations. The Birmingham, Alabama-based company had previously disclosed the matter in its public filings […]
Encompass Health (NYSE: EHC) has made a minority investment in predictive analytics firm Medalogix. Regulatory changes and staffing shortages driving the need for increased efficiency in home health and hospice motivated the investment, according to Encompass Health Chief Strategy Officer Luke James. “As we look out into the future, [we’re excited about] having a direct […]
As currently structured, the Patient-Driven Groupings Model (PDGM) will completely change how and when home health providers deliver therapy services. It will do so in multiple ways, most notably by eliminating the use of therapy service thresholds as a factor in payment determinations. It’s a move the Medicare Payment Advisory Commission (MedPAC) has long recommended. […]
Join the ConversationSeptember 18 Home Health Care News is hosting its third annual HHCN Summit on Wednesday, September 18 in downtown Chicago at Convene. Buy your ticket for the conference that will bring together over 300 professionals in home health, private duty, hospice and palliative care for a full day of exclusive, dynamic content and […]
Top executives from Humana Inc. (NYSE: HUM) on Wednesday got candid about their home health operations and the expected impact of the Patient-Driven Groupings Model (PDGM). In addition to its long-standing Humana At Home business, the Louisville, Kentucky-based insurance company owns a 40% stake in Kindred at Home, one of the largest home health providers […]
In recent years, the U.S. health care system’s shift toward value-based reimbursement has given home health providers cause to test all sorts of approaches aimed at reducing hospital readmission rates or preventing unnecessary trips to the emergency department. Predictive analytics-driven telehealth outreach programs that risk-stratify patients based on medical vulnerability and other factors can be […]
Encompass Health Corp. (NYSE: EHC) saw its home health-related revenue jump in the first quarter of 2019, driven primarily by volume and pricing gains. The Birmingham, Alabama-based company expects more of the same moving forward — even as the home health industry marches toward the Patient-Driven Groupings Model (PDGM). Overall, net operating revenues for Encompass […]
Cash flow interruptions and operational changes caused by the Patient-Driven Groupings Model (PDGM) may lead to a spike in the number of home health providers in the U.S. filing for bankruptcy, some experts predict. If the forecast is accurate, that may also mean more initial M&A action as well. “I agree with the premise that […]
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