Senate Lawmakers Introduce New Legislation Urging Evidence-Based PDGM Changes

Newly introduced bipartisan legislation in the U.S. Senate is targeting the widely opposed behavioral adjustments set to hit home health agencies next year under the Patient-Driven Groupings Model (PDGM). If passed, the legislation would require the Centers for Medicare & Medicaid Services (CMS) to base Medicare reimbursement rates on observed evidence and data, instead of […]

CMS Lifts Moratoria on Home Health After 5 Years

The long-standing moratoria on new Medicare home health agencies is no longer in effect anywhere in the U.S. The Centers for Medicare & Medicaid Services (CMS) allowed the temporary ban to expire on Jan. 30, a move that will likely improve patient access to home-based care in related markets, experts say. CMS initially implemented a […]

How Home Health Agencies Can Prepare for, Fight PDGM

When it takes effect next year, the Patient-Driven Groupings Model (PDGM) from the Centers for Medicare & Medicaid Services (CMS) is expected to revolutionize home health agency operations and double billing efforts. As the biggest payment overhaul in years, it’s crucial for providers to spend 2019 preparing for — and fighting certain aspects of — […]

NAHC’s Dombi: Threat of Payment Cuts Can’t Be Ignored

It’s been a hectic time since Bill Dombi officially took over as president of the National Association for Home Care & Hospice (NAHC) about 11 months ago. Perhaps more than anything, though, it’s been a period punctuated by the introduction of the Patient-Driven Groupings Model (PDGM), the biggest payment overhaul the home health industry has […]

Mark Heaney: Why Home Care Providers Need to Shake ‘Non-Skilled’ Label 

By Mark Heaney for Home Health Care News Names are important. That’s why it’s time to scrap the “non-skilled” label in home care. With very good reason, the industry has reacted with great excitement to the early 2018 news that the Centers for Medicare & Medicaid Services (CMS) is permitting Medicare Advantage (MA) plans to add home and community services […]

PDGM Risks, Opportunities and the Future

Date: Jan. 25, 2019Time: 1:00 p.m. CST – 2:00 p.m. CSTRegister Now As agencies prepare for upcoming changes associated with the implementation of the Patient-Driven Groupings Model (PDGM), this webinar will combine expert knowledge with practical guidance on best practices to handle one of the biggest adjustments for the industry in many years. Gain insights on: CMS’s […]

[Updated] CMS to Test Hospice Carve-In Under Medicare Advantage

The Medicare Advantage (MA) carve-in that many industry insiders pegged as “inevitable” has finally arrived. The Centers for Medicare & Medicaid Innovation (CMMI) on Friday morning announced it is expanding the MA Value-Based Insurance Design (VBID) model, using VBID to test out several wide-ranging updates to MA offerings, including a hospice carve-in set to take […]

The Top Trends in Home Care for 2019

In many ways, 2018 was a coming of age for the home care industry, as it steadily became recognized as a key part of the overall continuum of care due to its ability to keep older adults safely at home and out of the hospital. Among the biggest changes to home care in 2018: the […]

From Death Doulas to Minimum Wage Hikes: 10 Memorable Stories from 2018

Home Health Care News’ most-read stories of 2018 largely focused on Medicare Advantage changes, payment updates and regulatory initiatives. But every year there are also stories that don’t make our most-read list that we feel are deserving of another look. These stories highlight interesting trends, shed light on important topics and capture some of the […]

CMS Fails to Start Home Health Review Choice Demo as Scheduled

The Centers for Medicare & Medicaid Services (CMS) did not meet its publicly announced Monday goal of launching the Review Choice Demonstration (RCD) in Illinois. RCD is a revamped version of CMS’ widely opposed Pre-Claim Review Demonstration (PCRD) from 2016, an initiative that required home health providers to send in their Medicare claims earlier in […]