Senator Susan Collins Joins Other Lawmakers, Asks CMS to Ditch PDGM’s 4.36% Behavioral Adjustment

Senator Susan Collins (R-Maine) has sent a letter to the U.S. Centers for Medicare & Medicaid Services (CMS) on behalf of home health providers, urging the agency to reconsider the 4.36% behavioral adjustment baked into the Patient-Driven Groupings Model (PDGM) this year and in 2021.  Collins isn’t alone. U.S. Representative Vern Buchanan, a Republican from […]

Congressman Vern Buchanan Urges CMS to Scrap PDGM’s 4.36% Behavioral Adjustment

In August, the Partnership for Quality Home Healthcare (PQHH) unveiled a first-of-its kind, comprehensive analysis of the Patient-Driven Groupings Model (PDGM). Among its findings, the analysis — conducted by health economics and policy consulting firm Dobson DaVanzo & Associates — highlighted how government spending on home health care is 21.6% lower than what the U.S. […]

‘Technology Is Here to Stay’: Why Today’s Investments Will Pay Off Tomorrow

Between the Patient-Driven Groupings Model and the COVID-19 virus, home health providers are arguably facing the most volatile environment in their industry’s history. At the same time, millions of people are now looking for safer and simpler ways to receive care, which only boosts demand for in-home care services. Looking back, rapidly evolving technology, legislation […]

Spending on Home Health Care Down 21.6% Under PDGM

Spending on home health care services is down substantially under the Patient-Driven Grouping Model (PDGM), a recently unveiled analysis suggests. While the Bipartisan Budget Act of 2018 requires PDGM to be budget neutral, spending on home health care has actually been about 21.6% lower than projected, according to a detailed analysis from Dobson DaVanzo & […]

COVID-19 Making a Case for Nationwide Home Care Licensure Requirements

While nursing homes have come under fire for widespread COVID-19 infection outbreaks, home-based care providers have been largely regarded in a more positive light.  Unlike skilled nursing facilities (SNFs) and senior living centers, home-based care providers have lower virus transmission risks due to the individual nature of the service delivery. As such, hospitals and families […]

HHCN Survey: 92% of Home Health Agencies Have Lost Revenue Due to Coronavirus

It has been 80 days since President Donald Trump declared a national emergency because of the COVID-19 virus. Since then, almost every home health care agency has been adversely affected, with the vast majority of businesses experiencing sharp decreases in Medicare reimbursement, admissions and overall revenue, a new Home Health Care News survey reveals. While […]

Home-Based Care Advocates Call for Presumptive Eligibility, Direct Care Workers Fund

Securing direct reimbursement for telehealth visits and a Medicare rate increase are among the top advocacy priorities for home health providers during the coronavirus outbreak. While they share some common goals, home-based care providers that predominantly work under Medicaid have priority lists of their own. David Totaro is the chief government affairs officer for Moorestown, […]

Coronavirus Consequence: Home Health Agencies See Spike in LUPAs

Coming into 2020, home health care providers were preparing for drastic changes to the way that low-utilization payment adjustments (LUPAs) were calculated, a nuance of the Patient-Driven Groupings Model (PDGM), which took effect Jan. 1. However, what no one predicted is how the coronavirus would even further rock the LUPA landscape. Amid the COVID-19 emergency, […]

For Home Health Providers to Support Hospitals, More Federal Barriers Need to Be Lifted

Home health providers are positioning themselves as the answer to lessening the burden on U.S. hospitals during the COVID-19 pandemic, but the federal government will need to continue cutting through the red tape for providers to be effective. The past four weeks have elicited concerns about hospital over-capacity issues, as the number of confirmed coronavirus […]

Home Health Advocates to CMS: Stop Waiting to Cut ‘Meaningless Red Tape’

Officials from the U.S. Centers for Medicare & Medicaid Services (CMS) attempted to provide additional clarity to home health providers responding to the coronavirus pandemic Friday, speaking with stakeholders during a late morning conference call that quickly hit capacity. Among topics discussed, CMS offered guidance on telehealth policies, face-to-face rules and Medicare’s homebound requirement. More […]