The following is an op-ed submitted by: Ken Albert, CEO, Andwell Health Partners; David Causby, CEO, Gentiva; Marcylle Combs, CEO, MAC Legacy; Brent Korte, CEO, Frontpoint Health; John Olajide, CEO, Axxess; Billy Simione, Managing Principal, SimiTree; Jennifer Sheets, the former CEO of Interim HealthCare; Susan Ponder-Stansel, CEO, Alivia Care; David Totaro, Chief Government Affairs Officer, […]
Mac Legacy
In a world where home health agencies are scored, reviewed and tested in so many different ways, providers need to know which quality measures hold the most weight. That’s especially the case today, when more care models shift toward value. “It is extremely important for providers to understand — especially if you’re trying to do […]
Almost all home health providers want to get into value-based care. Many don’t know where to start. Performance-based benchmarks like patient satisfaction, timeliness of care and staff efficiency are all metrics they should begin to track diligently. That will come in handy when negotiating value-based care deals in the future. “Quality metrics are extremely important, […]
Home-based care’s acquirers have become more disciplined. And it’s not just because of rate cuts or higher inflation, either. It’s also because, after the M&A rush of 2021, outside investors are more aware of the compliance issues that can come along with small- to mid-sized sellers. Strategic buyers are also tired of dealing with “fixer-uppers.” […]
Now that the final home health payment rule for 2022 has been floating around for a few days, industry insiders have had time to pick it apart and zero in on key changes, including the nationwide expansion of the Home Health Value-Based Purchasing (HHVBP) Model. A significant difference between the finalized expansion of HHVBP and […]
For the most part, home health operators are saying “bring it on” to the Home Health Value-Based Purchasing (HHVBP) Model expansion plan from the U.S. Centers for Medicare & Medicaid Services (CMS). There are plenty of very real concerns buried under that enthusiasm, however. Dr. Bob Parker is the chief clinical and compliance officer at […]
The home health industry is once again in line for a major regulatory change. This time, it’s the looming expansion of the Home Health Value-Based Purchasing (HHVBP) Model, which has been active in nine demonstration states since 2016. As part of its most recent home health proposed payment rule, the U.S. Centers for Medicare & […]
Among payment-related policy changes for the home health industry in 2021 is the elimination of traditional Requests for Anticipated Payment (RAPs) — and the introduction of the “no-pay RAP.” While the change is a potentially costly one for home health agencies, they’re not the only ones struggling to keep up. Medicare Administrative Contractors (MACs) have […]
When the Patient-Driven Groupings Model (PDGM) takes effect on Jan. 1, all certified home health agencies will be subject to the new reimbursement system. With some agencies projecting an expected rise in reimbursement and others projecting a loss, clinical characteristics — and coding them correctly — will become more important than ever. In response, some […]
When the Patient-Driven Groupings Model takes effect on Jan. 1, all certified home health agencies will be subject to the new reimbursement system. With some agencies projecting an expected rise in reimbursement and others projecting a loss, clinical characteristics — and coding them correctly — will become more important than ever. In response, some providers […]
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