The vast majority of Americans prefer to age in place and receive post-hospital care in the home. Despite that fact, current reimbursement structures from fee-for-service Medicare and Medicare Advantage (MA) often leave providers operating on thin ice. Conveners rationing home health services is another hurdle that needs to be cleared, according to Jennifer Sheets, a […]
National Association of Home Care and Hospice
On Friday, Feb. 28, just after 10 p.m. PT, Brent Korte — chief home care officer at EvergreenHealth — got a call that changed everything. It was from his boss. “She asked me if I was sitting down,” Korte said. “She told me that EvergreenHealth not only had patients who had tested positive for COVID-19, […]
There are a variety of technical changes and nuances home health providers need to be aware of before the new Patient-Driven Groupings Model (PDGM) goes into effect in 2020. The Centers for Medicare & Medicaid Services (CMS) released details of its home health payment reform plan in its July 2 proposed rule. In its initial […]
Proposed policy changes related to how home health agencies bill for therapy shouldn’t cause the industry to cut staff or abruptly back away from those services, experts say. Under the Patient-Driven Groupings Model (PDGM) proposed by the Centers for Medicare & Medicaid Services (CMS) on July 2, home health providers would no longer be able […]
The home health, personal care and hospice industries are—again—in the midst of rapid and profound change. Courtesy of NAHCThe Centers for Medicare & Medicaid Services (CMS) is rekindling its Pre-Claim Review Demonstration (PCRD) efforts, while proposing a new payment system known as the Patient-Driven Groupings Model (PDGM). Meanwhile, the hospice space is seeing explosive growth, […]
Washington, D.C., policymakers have hurled several challenging volleys toward the home health, personal care and hospice industries in 2018, including possible reincarnations of the Home Health Groupings Model (HHGM) and Pre-Claim Review Demonstration (PCRD). To parry those attacks, or at least make sure they’re not overly burdensome, stakeholders will likely need to band together in […]