Tuesday, November 13 | Legislative/Policy, Post-Acute Care
Home health agencies have a lot to look forward to when it comes to upcoming regulatory requirements for reimbursements as proposed by the Centers for Medicare and Medicaid Services (CMS). Let’s dive in to learn more about what they can do now to prepare for new payment changes in 2020.
What is Patient-Driven Groupings Model, or PDGM?
PDGM has roots from the previously proposed Home Health Groupings Model, or HHGM, which CMS has described as focusing on the value versus volume of care, better serving all individuals. PDGM ushers in new payment episode timings and removes therapy visits to determine payment. In short, this is the most radical update to home health payment since PPS went into effect nearly 20 years ago.
The changes to care payment for home health providers include:
What does it mean for my organization?
The intent of the anticipated updates is to enable home health agencies to focus less on administrative duties and more on delivering care. This is essential to the benefit of both providers and patients. When clinicians can deliver more focused care, they can achieve better outcomes, the basis of success in the value-based care landscape to which all of healthcare is shifting.
What should we do to prepare for the shift to PDGM?
Organizations that take steps today will find success in PDGM tomorrow. Take time to evaluate the current state of your organization’s operations and start by asking if they can support the following:
2020 will be here faster than we know it and next year may see further refinement of the regulation before it goes into effect. Teams across Netsmart will continue to evaluate 2019 CMS final rule to determine how we can support our clients’ success with the regulation.
Follow us on CareThreads for helpful information on how to navigate the updates and changes with ease. In the meantime, check out our webinar with Strategic Healthcare Programs as we dive deeper into the intricacies of PDGM and what organizations should do to prepare for the 2020 updates.
Wednesday, January 25 | Thought Leadership,Post-Acute Care,Value-based Care
From workforce issues to value-based reimbursement models and legislative & regulatory change, there is plenty for hospice and home care agencies to keep an eye on in 2023. The National Association of Home Care & Hospice (NAHC) President Bill Dombi discusses the trends of the new year and offers his expert advice on how to navigate the coming months.More
Tuesday, December 20 | Thought Leadership,Post-Acute Care,Value-based Care
According to a recent report, there will be a “healthy demand” for Continuing Care Retirement Communities (CCRC). That doesn’t mean there won’t be any challenges. Leaders of these full continuum communities are still dealing with issues like inflation and recovery from the coronavirus pandemic. Senior care expert Eva Bering, MSN, MHA, RN, NHA, shares her thoughts on what leadership and boards of not-for-profit life plan communities need to focus on for future success.More
Thursday, December 01 | Thought Leadership,Post-Acute Care,Value-based Care
Most payers believe a majority of their contracts will be value-based within a few years. Some of them are already preparing while others haven't made the change. We take a look at five steps to help with the transition to a value-based payment model.More