The COVID-19 pandemic is overloading hospitals, prompting uncertainty about adequate space and supplies to deal with each patient. In order to diversify resources, the home-based care industry will need to play a crucial role. Soon, home-based care agencies will have to care for their traditional patients and an influx of new ones. That includes those […]
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 […]
Despite reimbursement pressure tied to the Patient-Driven Groupings Model (PDGM), the overall home health care outlook remains relatively rosy for 2020, the Medicare Payment Advisory Commission (MedPAC) believes. But that rosy outlook may signal a payment cut come 2021. MedPAC officials discussed the U.S. post-acute care sector’s outlook earlier this month during one of its […]
The Centers for Medicare & Medicaid Services (CMS) released a final rule Thursday that makes changes to discharge planning requirements for home health providers. Broadly, the changes are part of CMS’s efforts to make patients a more active part of their care transitions out of the hospital and into other settings. “This delivers on President […]
Home health providers continue to see a rise in patients coming from the community instead of hospitals and other institutional settings, recently released Medicare data shows. From 2001 to 2017, the number of home health episodes not preceded by a hospitalization or other post-acute care (PAC) stay increased by nearly 124%, according to updated figures […]
As the pages on the calendar continue to turn toward January 2020, the Patient-Driven Groupings Model (PDGM) remains a top priority for home health agencies big and small. But while the payment overhaul does mark the beginning of a new era in the industry, it can’t be providers’ sole focus. “It shouldn’t be: ‘PDGM is […]
For years, the Medicare Payment Advisory Commission (MedPAC) has floated the idea of a unified payment system for all post-acute care providers — skilled nursing facilities (SNFs), in-patient rehabilitation facilities (IRFs), long-term care hospitals (LTCHs) and home health agencies. MedPAC and its team of 17 commissioners provided additional insight into what a potential unified model […]
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. […]
In its latest report to Congress, the Medicare Payment Advisory Commission (MedPAC) recommended cutting the home health reimbursement rate by 5% in 2020 while continuing its push for a unified, site-neutral payment system for all post-acute care providers. Those recommendations are short-sighted and fail to recognize the value that home health care providers have created […]
The Medicare Payment Advisory Commission (MedPAC) submitted its Medicare payment policy report to Congress on Friday, again recommending a 5% home health payment rate reduction for the coming year and maintaining its view that program integrity remains problematic. MedPAC is required to report to Congress each March on the Medicare fee-for-service (FFS) payment systems, the […]
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