MedPAC

Medicare Enrollment Starting to Accelerate, as Number of Home Health Agencies Continues to Decline

Enrollment in fee-for-service (FFS) Medicare has started to accelerate in recent years, as more members of the baby-boom generation age into the program. At the same time, the number of individual home health agencies in the U.S. continues to decline. That’s according to the Medicare Payment Advisory Commission (MedPAC), which reported on emerging Medicare trends …

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MedPAC: CMMI Should Consider a ‘Smaller, More Harmonized’ Portfolio of Alternative Payment Models

To reduce redundancies and confusion in the Medicare system, health care policymakers should consider implementing “a smaller, more harmonized” portfolio of alternative payment models (APMs). That’s according to the Medicare Payment Advisory Commission (MedPAC), which released its regular June report to Congress on Tuesday. “In many cases, providers participate in multiple [alternative payment models] simultaneously, …

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Long-Term Care Expert David Grabowski: Home-Based Care Versus Nursing Homes Is a ‘False Dichotomy’

Long-term care providers have always had to stay on top of ever-changing shifts in trends, policies and regulations. The COVID-19 emergency has only made this task even more important. In today’s fast-paced environment, Harvard Medical School professor David Grabowski has turned into a major voice. Since last year, Grabowski has applied his expertise to a …

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Home Health Profit Margins Projected to Remain Strong in 2021

Margins for Medicare-certified home health agencies are projected to remain strong in 2021, despite ongoing challenges tied to the COVID-19 pandemic and the shift to the Patient-Driven Groupings Model (PDGM). Margins are anticipated to be so robust, in fact, that Congress should reduce the 2021 Medicare base payment rate for home health agencies by 5% …

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MedPAC: ‘Dynamic’ Home Health Industry Is Evolving into ‘Multiple Types of Care’

The home health industry is in a “dynamic state” and evolving into “multiple types of care,” according to the Medicare Payment Advisory Commission (MedPAC). As a result, health care policymakers should start thinking about how to redesign the traditional home health benefit to make it more nimble, perhaps by breaking it up into pre-acute and …

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Why the Proposed Medicare Rate Increase for 2021 Is ‘No Cause for Celebration’

Home health providers have experienced varying degrees of disruption to their business models over the past dozen or so years, from the Patient Driven Groupings Model (PDGM) to smaller regulatory changes. But at the end of the day, the cost of doing business has gone up. And reimbursement levels don’t reflect that, according to Mark …

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The Number of Medicare-Certified Home Health Agencies Is Dwindling

The number of Medicare-certified home health agencies in the United States is dwindling — and it’s a trend that started long before the Patient-Driven Groupings Model (PDGM) kicked in. From 2018 to 2019, the number of home health agencies dropped by about 3.6%, a decrease of 427 individual providers, according the Medicare Payment Advisory Commission …

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