As Medicare Advantage (MA) enrollment explodes and plans begin to offer more benefits to members, home health and home care agencies alike need to prove their value in order to gain new business. Specifically, home health providers need to demonstrate how they can lower costs and potentially add members for MA plans. “The important thing […]
McBee Associates
Home health care is beginning to manage the COVID-19 crisis at a more sustainable pace, and early signs have suggested that the Patient-Driven Groupings Model (PDGM) may not have been the boogeyman that some providers suspected it was. But the rosy outlook of the first six months of PDGM may be premature. Federal relief funding […]
In recent months, the unexpected and rapid spread of the coronavirus has overshadowed home health agencies’ transition to the Patient-Driven Groupings Model (PDGM). That’s still true throughout much of the country, especially with new COVID-19 hotspots emerging and the federal government’s top infectious-disease expert voicing frustration that Americans aren’t taking the virus seriously. But as […]
Both during and after the COVID-19 crisis, success will favor the innovators. Providers that can adjust their business operations accordingly and keep up with the sweeping regulatory changes will have a massive advantage moving forward. Conversely, those resistant to the new, post-coronavirus normal run the risk of being left behind. “The easy prediction is that […]
Home health providers are currently waiting in the calm before the storm, bracing themselves for the COVID-19 surge that has already affected hospitals, skilled nursing facilities (SNFs) and other settings. Unfortunately, industry experts say, they’re readying their operations without necessary support from policymakers, who have seemingly been slow to fully embrace in-home care as a […]
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 […]
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 […]
No shockers here: The Patient-Driven Groupings Model (PDGM) was the big story in 2019. The most widely read Home Health Care News story from the past year was a PDGM-focused conversation between the leaders of Amedisys Inc. (Nasdaq: AMED), LHC Group Inc. (Nasdaq: LHCG) and Encompass Health’s (NYSE: EHC) home health division. Now just days […]
If a home health history textbook comes out, 2019 will be a chapter of change. The Patient-Driven Groupings Model (PDGM) dominated most news cycles, but a series of similarly key regulatory initiatives also played out — and who knows what the rest of December has in store. As the end of the year draws closer, […]
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 […]