The highest 10 information of 2022 on residence well being care

Despite hopes that the impact of COVID-19 on the world would ease in 2022, the year began with the highest case counts that home health care and home care providers had seen, both among patients and staff.

But as Home Health Care News’ top stories of the year suggest, COVID-19 hasn’t defined what was happening in home care in 2022. Instead, a trend that’s been simmering beneath the surface for years – maybe even before the pandemic – came to fruition. Some of the country’s largest companies have invested in home health care.

But all along, the world of home care has faced existential threats: cuts in home health care payment rates, as well as rising home care costs.

Think back on this year in homecare by rereading 10 of HHCN’s most read stories.

  1. CMS moves away from drastic cuts and finalizes a 0.7% increase in provider payments through 2023 (31.10.)

Home health workers were likely half relieved and half disappointed after several months of campaigning against the Centers for Medicare & Medicaid Services (CMS) proposed rule, which resulted in a 0.7% increase in total home health care payments for 2023 .

Without adjustments for inflation – which many felt were insufficient – ​​the final rule effectively ended in a cut in payment rates.

“It’s important to understand some of the political implications of this last rule,” National Association for Home Care & Hospice President William A. Dombi later said. “CMS went from a headline saying they are cutting over $800 million in home health care spending in one year alone to a headline now saying they are cutting spending by $125 billion. increase dollars. This was a strategic, tactical move by CMS to make a positive headline.”

  1. How home care providers are expanding the talent pool with “non-traditional” caregivers (31 January)

Faced with the huge and urgent need for more home care nurses, authorities have begun seeking workers who have traditionally not ventured into a healthcare career.

Whether through targeted recruitment efforts or otherwise, some have managed to find “non-traditional” nurses to fill some of the workforce gap.

“I’ve always been very interested in looking at the role and responsibilities of the position I’m hiring,” Right At Home Gainesville co-owner Pete Morrissey told HHCN. “I don’t focus so much on the person’s prior experiences. I’m much more interested in whether they have the necessary skills, the necessary attention to detail and the willingness to get involved. We really take an industry-agnostic approach to hiring.”

  1. How the PE nursing home crackdown could impact the home healthcare industry (March 31)

The pandemic has left a sour taste in almost everyone’s mouth. For federal guards, the healthcare system’s specific failures during the height of COVID-19 rubbed them in the wrong direction.

In turn, these watchdogs have begun stalking private equity (PE) players in the nursing home industry. And what happens in one post-acute area generally spills over into others as well.

“Too often, the private equity model has put profits ahead of people — a particularly dangerous model when it comes to the health and safety of vulnerable seniors and people with disabilities,” the White House said.

Throughout 2022, the home health industry saw red flags of closer scrutiny of space, whether through a crackdown on PE forces or otherwise.

  1. LHC Group’s Keith Myers: To solve the Medicare Advantage problem, cut out the middleman (July 26)

Complaints from executives about Medicare Advantage (MA) plan home health service rates were a big topic of 2022.

They took a turn in July when Keith Myers, CEO of LHC Group Inc. (Nasdaq: LHCG), suggested conveners — “the middlemen” between vendors and plans — may be escaping more blame than they should.

Openly and unofficially, executives agreed with Myers’ assessment, saying that Conveners would “siphon off” the revenue and also affect negotiations between vendors and plans.

  1. UnitedHealth Group agrees to purchase LHC Group for over $5 billion (March 29)

The deal isn’t finalized yet, but UnitedHealth Group’s (NYSE:UNH) agreement to buy the aforementioned LHC Group for nearly $6 billion was arguably the biggest news of the year in home health care, and definitely the biggest deal Deal CVS Health’s (NYSE:CVS) $8 billion deal for Signify Health (NYSE:SGFY).

Once completed, LHC Group’s integration into UnitedHealth Group’s Optum could transform the home health care industry for years to come. Essentially, one of the biggest players in the industry will be partnering with one of the biggest companies in the country.

While it demonstrated the strong perception of the value of home health care, it will also rank one of the largest home health care companies in an organization with the largest MA market share.

  1. “The stability of home health care is at risk”: CMS proposes a 4.2% cut in provider payments in 2023 (17th of June)

The outcome is final, but the chaos that the proposed home health care payment rule wrought in 2022 will not be forgotten by providers any time soon.

For one thing, the fight isn’t over yet. Threatened and continued cuts continue to be part of the CMS plan, which home health workers are determined to avoid at all costs. That’s the advocacy angle.

From an operational perspective, thousands of vendors have had to take the risk of being in the red. In doing so, they had to consider how they could increase efficiency and reduce costs at the same time. That’s an organizational trend that’s likely to continue into 2023.

  1. Home care provider DispatchHealth raises over $330 million in latest round of funding (15th of November)

Amid a sharp slowdown in the fundraising market, DispatchHealth — a home care services company — raised $330 million. This was done with the support of Optum Ventures, Humana (NYSE: HUM), Oak HC/FT, Echo Health Ventures, Questa Capital, Adams Street Partners, Olayan Group, Silicon Valley Bank, Pegasus Tech Ventures and Blue Shield of California.

Since its inception in 2013, donations have risen to over 730 million US dollars.

“We’ve raised a few flags across the country over the past few years,” Mark Prather, CEO and co-founder of DispatchHealth, told HHCN. “The next few years will be about expanding our entire high acuity ecosystem in each of these markets.”

  1. CenterWell takes center stage after restructuring for Humana (July 27th)

Humana’s full acquisition of Kindred at Home left no doubt about its commitment to the future of home care solutions. However, there were still many questions to be answered.

What eventually emerged was “CenterWell,” Humana’s all-encompassing healthcare service arm, spanning home nursing and primary care.

Following the partial divestment of Kindred’s personal care and hospice lines, the company also created a new player in the larger home care space with a household name – “Gentiva”.

  1. Why home health nurses produce high referral denial rates (February 16)

The pandemic has brought increased demand for home healthcare services. But it didn’t necessarily bring more workers. Ultimately, this resulted in some of the highest referral rejection rates operators had ever experienced.

According to data analysis by CarePort, the home healthcare industry’s rejection rate was as high as 58% in January.

“That tells us that [providers] are unable to accommodate this large number of patients seeking home healthcare services, and they are beginning to turn more and more patients away from their referral partners,” Tom Martin, CarePort’s director of post-acut care analytics, told HHCN.

  1. Home nurses get their watches “cleaned” on MA, Grandstanding on Risk-Sharing (February 17)

Certainly prior to February 2022, home nurses were aware of the lower rates of MA plans compared to fee-based Medicare. But you could argue that that’s when they really started talking about it more seriously and publicly.

“We’re losing. This is a really serious moment for all of us,” said Bruce Greenstein, LHC Group’s Chief Strategy & Innovation Officer [at] endless conferences talking about the benefits of values-based care and all these cool programs we do. … But I have to say, as an industry, we’ve glossed over it for far too long … We have our clocks cleaned. And we just tend not to talk about it.”

It has certainly been talked about since then, even after LHC Group itself agreed to integrate with UnitedHealth Group’s Optum.

Other companies, meanwhile, have prioritized getting better contracts with MA plans. In some cases, GPs even considered deprioritizing MA patients given the lack of clinical capacity.

What emerges from talks between the leading home health organizations and MA plans around the negotiating table in 2023 will no doubt be an issue to watch.

Comments are closed.