Articles

It should come as no surprise that CMS has made some sharp left turns in Home Health payment and quality areas, directly impacting how our industry delivers care programming. Their goal remains the same; integrating Home Health with care management processes of other care continuums Providers – how do we do it better, more efficiently, […]

Assure your PDGM success with HHSM’s Utilization Review Model Home Health Strategic Management (HHSM), leaders in the management of Home Health through Utilization Review (UR), are prepared to help your agency assure success in the PDGM era. HHSM is currently working with HH Providers and systems across the country to address the Operational challenges of […]

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Cathy Sorenson was skeptical but desperate. With an average daily census over 400 but a profit margin at a barely surviving level, the President and CEO of Home Healthcare Hospice and Community Services in Keene, New Hampshire, frankly rated her agency’s overall performance as ‘mediocre’ and was ready to try anything to draw the best […]

Over the length of the PPS era, HHSM has developed and employed S.U.R.C.H., their Utilization Review model for Home Health Providers, to outstanding levels of clinical and financial results. Despite an ever-changing PPS model, S.U.R.C.H. has consistently produced increased outcomes, elevated care value, and improved Case-Mix/HHRG results; all while improving quality Star Ratings. Based on […]

This series of articles from HHSM addresses the latest CMS demonstration projects for Home Health; a fraud-preventing protocol that includes a Medicare Prior Authorization of Home Health Services Demonstration project, as well as a Medicare Probable Fraud Measurement Pilot. In this two-part series, we will examine the proposed pilot programs, Home Health integrity concerns that […]

The Affordable Care Act (ACA), passed in 2010, addresses Care Redesign through the establishment of the Accountable Care Organization (ACO) model which seeks to rewire care in terms of wellness, efficiency, and cost reduction. Since the ACA became law, a steady series of programming changes have been rolled out, and additional elements of the reform […]

As we in Home Health move into the calendar year 2015, we confront what is a rapidly changing care landscape, focused on reform efforts that challenge us from many angles. Though payment cuts represent business as usual in the homecare industry, those rate reductions now materialize in rebasing and Case-Mix scoring changes that result in […]

The Affordable Care Act (ACA) will define the healthcare management, production, and delivery processes of the future by rewiring the philosophies and financial incentives in the current care continuum. Health systems across the country are beginning to internalize and address the challenges they will confront as a result of the ACA care models, and Post-Acute […]

From the 2015 Home Health PPS Proposed Rule to CMS Value-Based Purchasing: A Home Health Roadmap for Tomorrow CMS recently released the 2015 Home Health PPS Proposed Rule to outline Medicare benefit changes that will take effect next year. The Proposed Rule, open for public comment for 90 days, is an annual ritual for Home […]