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 […]

Value-Based Purchasing Proposals May Signal Expanded Rollout

The Patient-Driven Groupings Model (PDGM) largely stole the show when the Centers for Medicare & Medicaid Services (CMS) released its proposed payment rule earlier this month. But there were also some important and surprising positives within the rule’s 600 pages that home health providers shouldn’t ignore, industry executives and analysts say. The two most striking […]

Movers & Shakers: McBee Announces Dordick as New President

McBee Looks Internally for New President McBee Associates has a new—but familiar—incoming president to help guide the health care services and consulting firm as it adapts to a shifting value-driven landscape and new payment models for post-acute spaces. Executive Vice President Mike Dordick has been promoted to president of the Wayne, Pennsylvania-based McBee, the firm […]

Webinar Last Chance: Winning with Medicare Alternative Payment Models

Upcoming Webinar: Winning with Medicare Alternative Payment Models: Lessons from Encompass  Date: Wednesday, May 10 Time: 1:00pm Central Time Across the country, home health agencies are finding that Medicare fee-for-service reimbursements are no longer a steady and largely predictable revenue stream. To thrive today and in the future, agencies must navigate the uncharted waters of […]

Upcoming Webinar: Winning with Medicare Alternative Payment Models

Upcoming Webinar: Winning with Medicare Alternative Payment Models: Lessons from Encompass  Date: Wednesday, May 10 Time: 1:00pm Central Time Across the country, home health agencies are finding that Medicare fee-for-service reimbursements are no longer a steady and largely predictable revenue stream. To thrive today and in the future, agencies must navigate the uncharted waters of […]

5 Tips to Win at Value Based Purchasing

Value based purchasing is already the reality in many states—and potentially on the horizon for the rest. For the states currently involved in the value based purchasing pilot, it’s a seismic change—and the stakes are high—but there are ways to manage the transition successfully, according to panelists participating in a July 20 Home Health Care […]