Home Health LUPA Challenges Continue as Pandemic Subsides

The frequency of low-utilization payment adjustments (LUPAs) increased for many home health providers in the first year of the Patient-Driven Groupings Model (PDGM), which coincided with the COVID-19 crisis. In part, that’s because there are far more LUPA variables to keep track of under the new payment model. At times, increases were also linked to […]

The Home Health Workforce Has Shrunk by 3.1% Since the Pandemic Started

It has been over a year since the COVID-19 pandemic began. The prolonged crisis has had a substantial impact on the U.S. health care labor pool, including the home health workforce, though to a slightly lesser extent. In February 2020, the nation’s health care employment peaked at nearly 16.5 million jobs, according to nonprofit research […]

CMS Could Target LUPAs, Functional Impairment in Future PDGM Adjustments

Despite the once-in-a-generation COVID-19 pandemic, the home health industry’s transition to the Patient-Driven Groupings Model (PDGM) was pretty seamless. Looking into the not-too-distant future, the U.S. Centers for Medicare & Medicaid Services (CMS) will now likely attempt to make modest tweaks to a handful of key areas, payment experts believe. The agency will do so […]

Staffing, Hospital Partnerships and Disaster Prep: Providers Share 2021 Spending Priorities

Similar to most companies this time of year, home-based care organizations are going through their budgeting and planning processes for the next 12 months. Budgets are thoughtful, strategic financial frameworks that are decided upon annually, with an eye toward the future. But this time around, providers are making spending plans with the insights gained from […]

Home Health Care’s ‘Pandemic Pioneer’ Grows Patient Census to All-Time High

EvergreenHealth Home Care — one of the largest home health and hospice providers in the Pacific Northwest — is the home health industry’s “pandemic pioneer.” Affiliated with a local hospital based just outside of Seattle, EvergreenHealth Home Care began caring for its first COVID-19 patients toward the end of February, several weeks before many of […]

Assisted Living Facilities Still Restricting Home Health Providers

Home health providers have been on the front lines of the COVID-19 crisis since its outset, yet a primary concern remains being left behind by legislators, whether that’s on a state or federal level. Reimbursement for telehealth services is still on the forefront of everyone’s minds. But there are less-covered issues that haunt providers as […]

Coronavirus Pushed Home Health Employment Down 7%, Spending Down 12%

The coronavirus is expected to drive demand for home health care in the long term. But in the short term, it has yielded industry-wide declines in employment and spending.  That’s according to a new data analysis released Tuesday by the Kaiser Family Foundation (KFF) in partnership with the Peterson Center on Healthcare. Specifically, KFF and […]

Coronavirus Consequence: Home Health Agencies See Spike in LUPAs

Coming into 2020, home health care providers were preparing for drastic changes to the way that low-utilization payment adjustments (LUPAs) were calculated, a nuance of the Patient-Driven Groupings Model (PDGM), which took effect Jan. 1. However, what no one predicted is how the coronavirus would even further rock the LUPA landscape. Amid the COVID-19 emergency, […]