In January, the U.S. Department of Health and Human Services (HHS) revealed plans to expand the Home Health Value-Based Purchasing (HHVBP) Model — a Medicare demonstration that aims to tie reimbursement to quality of care. While HHVBP has gained popularity within the home health industry, some experts believe there are potential downsides to scaling the […]
In the build-up to 2020 and the Patient-Driven Groupings Model (PDGM), many home health providers began shifting their referral strategies to focus more on hospitals, skilled nursing facilities (SNFs) and other institutional sources. Generally, providers realized that patients coming from such settings likely meant more Medicare dollars under PDGM, especially when patients were also classified […]
The impact of the Patient-Driven Groupings Model (PDGM) doesn’t appear to be universal. In fact, each home health care agency’s performance under the model seems to depend on a few somewhat uncontrollable factors, new PDGM data suggests. “CMS created a model that was based on all claims nationally, but depending on where you are and […]
The Centers for Medicare & Medicaid Services (CMS) was a little bit off with some of its predictions related to the Patient-Driven Groupings Model (PDGM). At least, that’s true when it comes to the first four months of 2020, according to Strategic Healthcare Programs (SHP) data unveiled on a recent BlackTree Healthcare Consulting webinar. The […]
In the first three months of the year when home health agencies were adjusting to the Patient-Driven Groupings Model (PDGM), the national low-utilization payment adjustment (LUPA) rate hit 9.5%. LUPA rates reached their height in March, when the coronavirus took the U.S. by storm. Those were just a couple key takeaways from a BlackTree Healthcare […]
Home health agencies might succeed in reducing hospital readmissions if they think of it as a numbers game. In fact, the number of home health visits during the first week post-discharge may play a critical role in readmission rates of Medicare beneficiaries, according to Zeb Clayton, vice president of client services at Santa Barbara, California-based health care data analytics […]
Home Health offers hospitals one of the best strategies to reduce 30-day readmissions, but are we living up to the challenge? With hospitals facing reimbursement cuts for high readmissions, and Home Health Agencies (HHAs) likely facing a readmissions pay-for-performance measure, the pressure is only getting more intense. Agencies need to continually look at their data […]
Home Health Care News revolved around bundled payment programs this week, as a private duty provider became a partner in one and the Centers for Medicare & Medicaid Services (CMS) joint replacement bundled payment initiative went into effect. Readers also tuned in to learn about home health apps taking cues from different social media sites […]
Another of the largest home health providers is going big on data in a partnership unveiled Wednesday. Amedisys, Inc. (NASDAQ: AMED) has partnered with Strategic Healthcare Programs (SHP), a provider of health care analytics to aid in performance improvement for post-acute care providers, the companies announced. The partnership seeks to establish real-time data and benchmarking […]
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