Senator Collins: Penalizing Providers with PDGM’s Behavioral Adjustment ‘Makes No Sense Whatsoever’

The ability for non-physician practitioners to certify a patient’s eligibility for home health coverage. Extending the 3% home health rural add-on. The creation of a national home care workforce strategic plan. These were just a few of the topics home health advocates discussed Wednesday morning during a dedicated hearing in front of the U.S. Senate’s […]

The Nurse Practitioner Workforce is Booming — And That’s Good for Home Health Providers

From 2010 to 2017, the amount of nurse practitioners in the United States more than doubled from 91,000 to 190,000, a new study published in Health Affairs found. The study draws from the Census Bureau’s American Community Survey. Although researchers didn’t analyze the nurse practitioner (NP) boom’s effect on home-based care directly, there are some […]

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 […]

National Home Health Spending Hits Record $102.2 Billion — With Room for Growth

National home health spending soared to new heights in 2018, a fact that strongly reflects the ongoing shift toward home- and community-based care and away from hospitals, skilled nursing facilities (SNFs) and other institutional settings. Overall, U.S. home health spending officially hit $102.2 billion in 2018, according to a new analysis from the Centers for […]

Despite $5.32B Decrease, CMS Likely to Keep Foot on Improper Payments Gas Pedal

The Medicare fee-for-service improper payment rate has fallen once again, thanks largely to the cleaner paperwork and ongoing compliance efforts of U.S. home health providers. Despite clear and steady progress in bringing improper payment rates down, though, the Centers for Medicare & Medicaid Services (CMS) is unlikely to relax its oversight anytime soon, industry leaders […]

Home Health Turnover Worsens in 2019

Home health turnover rates worsened slightly in 2019 compared to the prior year. Most salaries, however, saw a slight bump. That’s according to the latest Home Care Salary & Benefits Report from the Oakland, New Jersey-based Hospital & Healthcare Compensation Service, which provides salary and benefits studies along with custom marketplace studies, for the health […]

[Updated] CMS Lowers PDGM’s Behavioral Adjustment, Finalizes RAP Elimination Plan

The Centers for Medicare & Medicaid Services (CMS) on Thursday finalized the Patient-Driven Groupings Model (PDGM) for 2020, in addition to its plan to phase out home health pre-payments and introduce a new home infusion therapy benefit. But perhaps the biggest news for U.S. home health providers is a major update to PDGM’s widely opposed […]

CMS Pumps Brakes on Primary Care First Launch

When the Centers for Medicare & Medicaid Services (CMS) unveiled its new voluntary risk-based in-home primary care initiative in April, home health providers and advocates responded with cautious optimism. For some, that optimism will now have to be put on hold. Although CMS is now accepting applications to participate in its Primary Care First payment […]

Despite Challenges, Some See Upside in PDGM’s Therapy Overhaul

The Patient-Driven Groupings Model (PDGM) is still months away, but its projected impact on therapy utilization is already sending shockwaves throughout the home health industry. With an eye toward 2020, many providers anticipate cutting back on therapy and shifting their business models more toward nursing services, especially when it comes to higher-paying areas such as […]

Home Health Advocates Strike Key Victory, Win RCD Delay

Home health advocates have struck an important victory in the battle against the Review Choice Demonstration (RCD). The Centers for Medicare & Medicaid Services (CMS) announced Monday that the agency will delay RCD until March 2. The demonstration had previously been targeted for a Dec. 2 start date, meaning Texas home health providers would have […]