Monday, September 25 | Legislative/Policy, Post-Acute Care
If you’ve been keeping up with the latest in the home health industry this year, you’ve most definitely heard the term Home Health Groupings Model (HHGM) floating around at one point or another. Since the introduction of the home health prospective payment reimbursement model, the HHGM is a significant and controversial proposal, shaking up the home health industry.
So what does this new payment model proposal mean for you, your organization and the industry? In this three-part blog series, we’ll explore what HHGM is and what it entails, the impact and reaction from the home health industry as well as what it means for the future of home health.
During the summer of 2017, the Centers for Medicare and Medicaid Services (CMS) shook up the home health industry and unveiled the HHGM while proposing updated payment rates and wage indexes for calendar year (CY) 2018. Due to take full effect in CY 2019, the redesigned payment system is expected to uphold CMS’s desire to move from reimbursement for quantity to reimbursement to quality of care by removing therapy visits as a factor in payment determinations. Additionally, CMS wants to make a shift toward compensating complicated, higher acuity cases more appropriately.
Many home health providers deliver therapy visits as a core portion of the 60-day plan of care. Changes to the payment implications based on therapy need, the reduction to a 30-day episode, and other areas of the payment model worry providers about their long-term stability.
Significant changes to the current payment model include:
The rule is a complete turnaround from what was originally proposed at the beginning of 2017, creating a feeling of frustration within the industry. CMS holds firm that the HHGM rule is in alignment with broader goals to help alleviate provider stress, support the relationship between patients and doctors, as well as promote clarity, flexibility and advancement in care delivery.
Beyond the HHGM, there are additional factors going on in home health reimbursement that are expected to add additional strain to financial worries:
Between the proposed HHGM and other reimbursement reductions forecasted for the future, there’s no doubt of the concern and nervousness in the home health community. Working with limited resources already, the proposed changes are surfacing a lot of stress and concerns for many providers.
Join us next time for part two of our series where we’ll dive deeper into industry reactions to the new payment model and examine the impact that may result from the proposed changes.
Wednesday, May 11 | Post-Acute Care,Human Services,EHR Solutions and Operations,Interoperability
Interoperability has become an essential force behind healthcare technology, enabling providers to succeed in value-based care models and support care coordination for fundamental services such as crisis management. Look no further to find out what interoperability looks like in the real world and how individuals with complicated or co-occuring conditions benefit from healthcare solutions working together.
MoreTuesday, March 15 | Thought Leadership,Post-Acute Care,Value-based Care,Human Services
Finding new ways to navigate the workforce crisis and ease the impact taken by the healthcare industry can start with a technology-first strategy. Check out the webinar recap to learn from industry leaders who share best tools and insights that have enabled healthcare organizations to empower staff to be more efficient and resilient in the midst of challenge.
MoreTapping Technology to Empower Your Workforce
Wednesday, February 02 | Thought Leadership,Post-Acute Care,Value-based Care,Human Services
Staffing stress and workforce shortages have been at the forefront of healthcare organizations' major roadblocks to delivering quality care. Embracing technology by empowering your workforce with the tools and services to provide better patient outcomes can be your next step in the right direction.
More