Where PDGM’s Therapy Changes Will Hit Hardest

By eliminating visit-volume thresholds and tying reimbursement more closely to need, the Patient-Driven Groupings Model (PDGM) will likely steer the home health care industry away from therapy and toward nursing. Although PDGM officially starts on Jan. 1, home health providers have already begun to shift their therapy utilization strategies to better line up with the […]

Presidential Candidate Buttigieg Proposes Increasing In-Home Care Access for Seniors

Democratic presidential hopeful and South Bend, Indiana mayor Pete Buttigieg, unveiled his plans to provide older adults access to long-term care, including in-home care, on Monday. For now, it’s unclear how much Buttigieg’s plan will cost. The candidate released a set of policy proposals — Dignity and Security in Retirement — that aims to lessen […]

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 […]

Trump Impeachment Investigation Stealing Spotlight From Home Health Industry’s PDGM Efforts

At first glance, it might be hard to spot a connection between the impeachment activity swirling around President Donald Trump and the home health industry. A deep dive into the current Washington, D.C.-landscape and national priorities, however, suggests the two are inevitably linked. With all eyes and ears tuned into impeachment talks on Capitol Hill, […]

Home Health Value-Based Purchasing Model Likely Headed to the Scrap Yard

The Home Health Value-Based Purchasing Model (HHVBPM) is likely headed for the scrap yard in the not-too-distant future. Implemented in 2016, HHVBPM was generally designed to pay home health providers in nine states based on outcomes and the value of services delivered. While many thought HHVBPM was fated for expansion, the initiative appears to be […]