No Empty Promises: How Home-Based Care Providers Actually Plan To Use AI

Artificial intelligence is likely to be a society- and business-altering technological development. But, just like the advent of the internet before it, AI’s emergence will undoubtedly lead to as many empty promises from business leaders as it does actual use cases. That’ll particularly be the case in the early innings of AI, which I believe […]

‘Not About A Shiny New Toy’: How Home Health Providers Are Succeeding With More Complex Patients

As home health patients become sicker and more complex, providers have been forced to find ways to keep their care models financially viable. In order to combat some of those “acuity creep” challenges, industry leaders are leaning on technology, data-driven decision making and more value-based care. “We continue to navigate through a very regulated industry,” […]

Facing The Future: Home Health Providers Gear Up For 2024’s Value-Based Care, M&A Landscapes

Home-based care providers have faced many headwinds over the past few years. They’ll continue to do so in 2024. But uncertainty has also plagued providers, and there may be less of that this year. Providers know the threat of fee-for-service Medicare cuts. They know Medicare Advantage (MA) penetration is an unstoppable force. They know staffing […]

Recent Medicare Advantage Developments Bode Well For Home Health Providers

Home health providers have griped with their Medicare Advantage (MA) plan partners for years over poor rates, claim denials and increased administrative burden. Providers have stopped short of banding together to deny coverage for these plans, but some of the top companies have reallocated capacity to “preferred payers.” In the end, though, it may not […]

Home Health Industry Leaders Scoff At ‘Distorted Picture of Reality’ Painted By MedPAC

The Medicare Payment Advisory Commission (MedPAC) recommended that the Medicare base payment rate for home health care be reduced by 7% for CY 2025. The recommendation is another chapter in the contentious relationship between the commission and the home health industry. It also recommended that Congress eliminate any payment updates for hospice providers in 2025. […]

As 2024 Nears, Large Home Health Providers Are Cementing Their MA Strategies

Home health providers’ battle for fair reimbursement from Medicare Advantage (MA) plans will be a “generational battle,” and not one they will win overnight. But, at least for larger home health providers, their strategies in that battle are much more definitive than they were even a few years ago.  Luke James, the president of VitalCaring, […]

For Home Health Providers, Finding The Right Revenue Mix Is Increasingly A ‘Balancing Act’

Consolidation in the home health market has been forecasted for years. While the number of home health agencies has declined over the last couple, greater consolidation has yet to hit the industry. But the fragmented and growing home health space could finally begin to experience it in the near-term future, likely due to declining traditional […]