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Top Three Home Health Care Changes Ahead

Posted on Friday, March 9, 2018 9:07 PM

Home Healthcare survived a turbulent year last year with regulatory proposals, and everyone needs to look at this year with fresh eyes.

“2017 was arguably dominated by efforts to repeal and replace Obamacare,” said Fred Bentley, vice president of Avalere Health, a policy and financial consulting firm based in Washington, D.C. Bentley spoke at the National Leadership Conference on Wednesday, hosted by industry association ElevatingHome, the Alliance for Home Health Quality and Innovation and VNAA.

Within policy changes, there are three more opportunities for home health providers according to Bentley.

Payment Restructuring

In the Bipartisan Budget Act of 2018, major reforms to home health care are found.  Most notably, is the new 30-day payment model instead of the current 60-day model.  This new model will link payments more to value, and providers are going to have to have perfect documentation.

Upstream Partners

Beyond direct policy, home health care providers can expect to be impacted by their upstream partners, such as health systems and hospitals, taking on more risk in alternative payment models. As physicians are paid increasingly based on value and health care outcomes, home health partners can expect to see their value also increase.

Government Outsourcing

Many home health care agencies have their sights set on Medicare Advantage plans.  The MA plans do not pay as much, but as time goes on home health care providers need to find a way to partner with these plans.

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