Thursday, March 29 | Partnerships and Collaboration, Post-Acute Care

Experts in Home Health Give Thoughts and Advice for 2018 - Part 5

By Michael McGowan, President, OperaCare, LLC

Previously, in Part IV of Experts in Home Health Give Thoughts and Advice for 2018, Arnie Cisneros and Kimberly McCormick from Home Health Strategic Management covered their ideas surrounding the approach to value-based care. As we continue with our series, Michael McGowan, OperaCare president, lends his thoughts surrounding how new regulation and compliance requirements for agencies might shift their approach to patient care.

Compliance and Quality Equal Growth and Profit

Regulatory and compliance updates simultaneously left nine states in the nation faced with new CoP’s (conditions of participation) and new COP’s (conditions of payment). These changes mandate re-engineering the delivery of patient care while competing with each other over cost of care, quality and outcomes.

Failure to innovate and diversify competitively produced the predictable downfall and Home Health Value-Based Purchasing (HHVBP) payment penalty for those who did not. Those who failed to adapt to programs such as STARS, HHVBP, or prepare to participate in the alternative payment models where CMS states 80 percent of the payments will come from in the near future still have a chance. But not for long.

If you’re in the top 10 percent of the penalty group, your situation is very hopeful as evidenced by providers in the acute care arena. If you’re in the bonus group, and near the top 10 percent, you have a target on your back. Cost, quality and outcomes are the new currency of home care. Innovation and re-engineering the continuum of patient care to be data-driven is the only way to realize efficiency, predictability and profitability, assuring your future with CMS.

See you next time for Experts in Home Health Give Thoughts and Advice for 2018 – Part VI where we’ll hear from Home Care Sales’ Melanie Stover as she explores how referral partnerships are poised to transform the home health landscape for 2018.

Meet the Author

Michael McGowan · President, OperaCare, LLC

From the CareThreads Blog

Call to Action: Proposed Cuts Could Deprive Home Health of Necessary Funds

Wednesday, September 20 | Post-Acute Care,Value-based Care

Millions of older Americans could be greatly impacted if the Centers for Medicare & Medicaid Services goes through with its proposed rate cut to the Home Health Prospective Payment system for Calendar Year 2024. One of the most concerning aspects of the proposed rule revolves around its potential impact on home health reimbursement.

Extreme Usability II: Enhancing the Client Experience

Tuesday, August 29 | Thought Leadership,Human Services,Partnerships and Collaboration

If the past few years has taught us anything, it is that consumers of healthcare want to access care their way. We live in a digital world which is impacting how we deliver care. Netsmart is committed to meeting the new and varied needs of providers by developing solutions that meet them where they are. The same is true for consumers. Having had a taste of virtual services, many consumers will want to continue virtual care and prefer much broader digital experiences. At Netsmart, we call this focus on the user experience "extreme usability."

One Partner, One Platform: Netsmart Will Integrate with Best-in-Class ABA Technology, RethinkFirst

Monday, July 17 | Thought Leadership,Human Services,Partnerships and Collaboration

Discover the groundbreaking partnership between Netsmart and RethinkFirst that will revolutionize the way IDD and autism providers operate. Simplify clinical documentation, enhance data collection, and improve treatment outcomes with the integrated RethinkBH ABA clinical solution and Netsmart's suite of certified CareRecords™.