Elara Caring Targets Physicians as Home Health Providers Rethink Referrals

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 […]

Early Data Shows PDGM’s Regional Winners, Losers 

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 […]

By the Numbers: Breaking Down Home Health LUPA Patterns

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 […]

How Home Health Can Win the Readmissions Numbers Game

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 […]

Editor’s Picks: Bundled Payment Programs Galore

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 […]

Amedisys Forges Partnership to Cultivate Real-Time Data

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 […]