Payer Diversification Strategies for Home Health Care Agencies

The Home Health Care Wire 

Your source for CareVoyant and industry news. September 14, 2022

Payer Diversification Strategies for Home Health Care Agencies

CMS has proposed a cumulative $18 Billion cuts to Home Health reimbursements over the next decade. These cuts will have a much higher impact on the agencies providing only Medicare Certified Home Health Agencies. They can adopt payer diversification strategies to mitigate the impact of reimbursement cuts by diversifying the payer mix and services offered.

Payroll processing is very stressful in a home health care agency. With multiple data sources to collect utilization data from and the importance of ensuring processing accuracy, submitting payroll for the payroll processing service or software can be time-consuming and challenging. Prompt and accurate payroll is one of the most important criteria to improve employee satisfaction.

HHVBP represents the most significant change to provide incentives (or penalties) to Medicare Certified Home Health Agencies to give higher quality and more efficient care. Home Health Care Agencies should have the right tools to monitor OASIS Based and Claim Based Measures throughout the year to help them adjust the care delivery process to improve patient outcomes. The software platform will play a critical role in helping Home Health Agencies meet the challenges of HHVBP.

Home Healthcare Industry News

Home Health Stakeholders Voice Their Concerns To CMS Over Medicare Advantage Program

Home health stakeholders – and many others – recently had the opportunity to weigh in on the way Medicare Advantage (MA) is currently administered by the U.S. Centers for Medicare & Medicaid Services (CMS).

The National Association for Home Care & Hospice (NAHC) and Moving Health Home are among the two groups that answered CMS’ request for information.

Why OIG Telehealth Fraud Findings May Mean Further Roadblocks For Home Health

A number of health care providers that billed Medicare for telehealth services likely did so in a fraudulent or wasteful manner, according to federal watchdogs. That finding and others like it dampen the chances of home health providers being able to bill for virtual care moving forward.

That’s one major takeaway from a recent report from the Office of Inspector General (OIG).

Home- And Community-Based Services Make Up $69.5 Billion Of Fee-For-Service Medicaid Expenditures

Total Medicaid managed care spending across all 50 states saw an increase last year. In fact, spending checked in at $420.5 billion in 2021, compared to $359.6 billion in 2020, according to data collected in the annual CMS-64 Medicaid expenditure report.

Additionally, home and community-based services make up a big chunk of this spending. At $69.5 billion, these services are responsible for 24% of fee-for-service spending. Personal care was responsible for $12.6 billion, or 4.4%.

ABOUT CAREVOYANT

CareVoyant is a leading provider of cloud-based integrated enterprise-scale home health care software that can support all home-based services under ONE Software, ONE Patient, and ONE Employee, making it a Single System of Record.  We support all home care lines of service, including Home CarePrivate Duty NursingPrivate Duty Non-MedicalHome and Community Based Services (HCBS)Home HealthPediatric Home Care, and Outpatient Therapy.

CareVoyant functions – Intake, Scheduling, Clinical with Mobile options, electronic visit verification, eMAR/eTAR, Financial, Secure Messaging, Notification, Reporting, and Dashboards – streamline workflow, meet regulatory requirements, improve quality of care, optimize reimbursement, and bring operational efficiency.

For more information, please visit CareVoyant.com or call us at 1-888-463-6797.

Schedule a Discussion with CareVoyant

CONTACT US