Home Health Insiders Hearing About Agency Exits Less Than 10 Days into PDGM

We’re less than 10 days into the Patient-Driven Groupings Model (PDGM), but already some industry experts are hearing about the forthcoming shutdown of home health agencies. PDGM — the biggest home health reimbursement overhaul in two decades — began on Jan.1. “Right now, it’s really early to see some of these scenarios,” Mike Dordick, president […]

The Top Home Health Trends of 2020

In all likelihood, 2019 will go down as one of the most important years in Medicare-certified home health care history. While many industry-shaping changes didn’t officially begin last year, 2019 did set the stage for several new regulatory and business trends in 2020. Almost all of those trends are somehow linked to the Patient-Driven Groupings […]

False Alarm: Why Small Home Health Agencies Should Tune Out PDGM ‘Carnage’ Claims

Home health industry insiders throughout 2019 have frequently speculated on the “carnage” likely to take place next year when the Patient-Driven Groupings Model (PDGM) pushes smaller, ill-equipped agencies out of business. Generally, the narrative goes something like this: As the biggest overhaul to home health reimbursement in two decades, PDGM will significantly disrupt agency cash […]

PDPM Speed Bumps Hint at Unexpected PDGM Challenges to Come

With less than two months left on the clock before home health agencies take their shot at the Patient-Driven Groupings Model (PDGM), questions regarding industry preparedness and education continue to swirl. Some, however, say those questions are better aimed at the Centers for Medicare & Medicaid Services (CMS). Similar to home health providers, CMS regulators […]

PDGM Changing Home Health M&A Landscape

With a number of upcoming regulatory changes sure to shake up the home health industry — including the Patient-Driven Groupings Model (PDGM), the Review Choice Demonstration (RCD) and a phaseout of Requests for Anticipated Payments (RAPs) — a provider’s future isn’t exactly clear. As a result, questions surrounding how and when to best approach mergers-and-acquisitions […]

Home Health and SNFs Should Lean On, Learn From Each Other

Despite the competition that often exists between home health care agencies and skilled nursing facilities (SNFs), the industries have more similarities than differences. As such, they should be leaning on and learning from each other, experts say.  “I know that home health is struggling in a lot of ways — there are a lot of […]

CMS Proposal Takes Home Health Agency Closure Estimates and ‘Lights Them on Fire’

After federal health care policymakers fine-tuned the Patient-Driven Groupings Model (PDGM) last October with a 6.42% cut based on certain behavioral assumptions, some industry experts predicted there would be a modest uptick in home health bankruptcies in 2020. “The last time the industry went through this kind of major change was in the late 1990s […]

Home Health Bankruptcies Likely to Rise After PDGM

Although a fairly common practice in the senior housing and skilled nursing worlds, home health providers as a group have largely avoided bankruptcy proceedings, partly thanks to a steady reimbursement landscape and increasing demand for services by older Americans hoping to age in place. If history serves as any guide, that’s likely to change under […]