The same holds true to PDGM’s therapy provisions if providers drastically reduce those services in 2020. I believe regional and national providers will be better equipped to weather the storms that 2020 will bring, especially in geographic areas projected to be subject to greater rates cuts related to PDGM. Overall, working with MA hasn’t been a main goal for home health providers, as most feel plans fail to grasp the value of in-home care from patient outcomes and cost-savings perspectives. “It was assumed that Peter would pass it down to his children. Under the Prospective Payment System (PPS), home health providers increased the use of in-home therapy services — so much so, in fact, that the Medicare Payment Advisory Commission (MedPAC) often criticized the industry’s apparent overutilization. Sentara Home Care, Valley Home Care and Ohio Living Home Health and Hospice are just some of the providers working with HRS. From the monumental Patient-Driven Groupings Model (PDGM) and the unexpected pre-payment phaseout to the expanding Review Choice Demonstration (RCD), 2019 was a whirlwind year for the home health industry. Home Health Care News (HHCN) is the leading source for news and information covering the home health industry. With PDGM moving the industry to a 30-day episode, there will be a push for greater effectiveness of care. Almost all of those trends are somehow linked to the Patient-Driven Groupings Model (PDGM), the massive home health reimbursement overhaul that went live on Jan. 1. We recently contracted with a large insurer to manage the care of their high-risk members at home for a 60-day period following hospital discharge (to make sure those members’ recoveries stay on track). Additionally, if … Even if CMS doesn’t change course on PDGM, the RAP elimination or the Review Choice Demonstration (RCD), providers should at least expect a quieter year regarding new regulation introduced. To do so, CMS Administrator Seema Verma hinted that her agency will turn to innovative detection tools, including artificial intelligence. The industry has historically siloed clinical, operational, sales and financial, but these departments will learn to team up and not work against each other. Receive industry updates and breaking news from HHCN, Association for Home & Hospice Care of North Carolina, LifeCare Home Health & In-Home Care Services, National Association for Home Care & Hospice, South Carolina Home Care & Hospice Association, AccentCare CMO: Home Health, Hospice Turning into the ‘Forgotten Front Line’, HME Companies Grapple with Sudden Supply-Demand Swings of COVID-19, 50% Cut to Workforce Recruitment, Retention Fund Puts Home Care Providers in the Hot Seat, Nightingale Homecare uses mobile printers to power productivity and improve patient care, 2020 Home Health Care News Outlook Survey and Report, Growing Home Health Admissions and the Bottom Line: A Case Study with Intrepid USA. document.write(new Date().getFullYear()); That’s the important question as it pertains to M&A, consolidation and course-correction. As 10,000 baby boomers turn 65 every day until 2029, the industry is ripe for innovation and accelerated growth. We’re not quite over the goal line,” NAHC Director of Government Affairs Calvin McDaniel said in October. With value-based contracting and a unified payment model just over the horizon, home health providers that align their people, processes and technology will win. AccentCare, Association for Home & Hospice Care of North Carolina, Brookdale Senior Living, Edgemont Capital Partners, Elara Caring, Encompass Health, Forcura, Healing Hands Healthcare, LifeCare Home Health & In-Home Care Services, National Association for Home Care & Hospice, PlayMaker Health, South Carolina Home Care & Hospice Association, The Pennant Group, VNSNY. Americans are rapidly aging and experiencing more complex health issues and co-morbidities. Ultra-fast scans: GE showcased its breakthrough ultra-fast CT scanner earlier this year, which can … While using HRS, Virginia-based Sentara saw its 30-day all-cause readmission rate drop to 9.09%, a mark far lower than the state hospital readmission rate average. But in my opinion, the lasting legacy of payment reform will be home health providers tapping into their clinical, operational and financial information like never before. All rights reserved. Without access to RAPs, many freestanding home health agencies with tight margins will go out of business, unable to pay their employees or keep the lights on. According to the World Health Organization (WHO), there were 703 million persons aged 65 years or over in the world i… “[The] thing I’ve learned about this business and CMS is that the pendulum is always at extremes,” Amedisys CEO and President Paul Kusserow said in September at the annual HHCN Summit. according to post-acute care financial experts. Challenging circumstances always give rise to accelerated innovation and change. With the advent of new technologies, I am excited to see how these will be embraced to enhance the home-based clinical experience and expand possibilities once only dreamed about. Home health has never seen a paradigm shift in payment and clinical reconstruction in nearly two decades like we are about to see with PDGM starting in January.
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