LHC Group CEO: MedPAC ‘Off on Some Island’

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 […]

Refinement Bills Are Chance to ‘Get PDGM Right,’ Avoid Industry Destablization

Joanne E. Cunningham took over as The Partnership for Quality Home Healthcare’s executive director in August 2018. Since then, much of her focus has been spent educating policymakers on the Patient-Driven Groupings Model (PDGM) and its potentially industry-shaping impact. So far, those advocacy returns have been promising, recently contributing to PDGM-refinement legislation in the U.S. […]

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 […]

Dombi, Myers: Dangerous Assumptions in PDGM Could Disrupt Home Health

Two prominent home health leaders are trying to keep pressure on federal lawmakers to eliminate components of the forthcoming Patient Driven Groupings Model (PDGM). Bill Dombi, president of the National Association for Home Care & Hospice (NAHC), and Keith Myers, CEO of LHC Group (Nasdaq: LHCG) and chairman of the Partnership for Quality Home Healthcare, […]

Legislation Targeting Home Health Reforms Gaining Ground on Capitol Hill

Industry-backed legislative efforts to take the teeth out of proposed home health payment reform are gaining ground on Capitol Hill. On Thursday, Rep. Ralph Abraham (R-La.) introduced H.R. 6932, a new bill that amends several provisions of the Bipartisan Budget Act of 2018 to thwart widely opposed behavioral adjustment aspects of the Patient-Driven Groupings Model […]

New Medicare Payment Model Looms Over Home Health Providers

Home health agencies should be prepared for a major unwelcome surprise that could hit in the near future—a comprehensive, complex overhaul of the Medicare payment system. When the Centers for Medicare & Medicaid Services (CMS) proposes its 2018 payment rates, likely within the next several weeks, the agency could also seek to establish a new payment […]

Monday Briefing: Tom Price Confirmed as Secretary of HHS

In the wee hours of Friday morning, after an all night session, the Senate confirmed Rep. Tom Price M.D (R-GA) as the secretary of the Department of Health and Human Services (HHS). Several industry organizations like the Partnership for Quality Home Healthcare and the American Health Care Association (AHCA)/ National Center for Assisted Living (NCAL) are […]