Initial Thoughts about the 2023 VBP Expansion

What it takes to qualify – How many Providers will fail? – What can you Expect? – Is there life after failing to qualify for the VBP Bonus? Home Health Value-Based Purchasing (VBP) Expansion arrived this year, and many Providers are eager to qualify for the bonus payment in 2025. Extensive education has outlined how […]

Leadership Control in the VBP ERA

In this second installment of Rehospitalizations in the VBP area, the obvious must be stated: agencies would be remiss in their path to success if they do not objectively investigate their pre-VBP levels of leadership control. Throughout the history of our industry, multiple areas of operations, currently under leadership management, have hampered HH agencies in […]

HHSM PDGM Webinar Package- Limited Offer!

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 […]

HHSM Home Health UR Program Receives VNAA 2016 Innovative Model Award

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 […]

Prior Authorization comes to Home Health? Thoughts on this Latest Game-Changer

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 […]

CCJR Arrives in 2016: A New Era for Home Health Joint Replacement Patients

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 […]

2015: A Time for Change in Home Health

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 […]