Literature Review

A disconnect between healthcare leaders, workersBecker's Hospital Review; by Mariah Taylor; 5/17/24A recent Indeed survey suggests that many workers do not intend to leave healthcare entirely, but rather break ties from individual employers due to dissatisfaction with the job, a recent Indeed survey suggests. The survey also cites a gap in perception between what the workers find important and what management thinks they find important. Indeed commissioned a survey of 1,014 healthcare job seekers and 489 professionals engaged in recruiting or hiring healthcare employees. Participants were surveyed between November and January. [Highlights include:]

Home-Based Care Investors Show Interest, But M&A Pace Remains CautiousHome Health Care News; by Andrew Donlan; 5/13/24Home-based care dealmakers have been busier of late, but that has not yet translated into more transactions. There’s some feeling that sidelined private equity firms will eventually have to enter the game, but that may not be the case.

Hospital-at-home grows despite regulatory uncertaintyModern Healthcare; by Diane Eastabrook; 5/17/24Health systems and technology companies are betting big on home-based hospital care, despite regulatory uncertainty about the program’s future. Hospitals are bullish on at-home acute care because it can save money and make more beds available in their facilities for sicker patients. Medicare also pays health systems the same rate as it would for an inpatient admission. Since January, two health systems and 16 hospitals launched hospital-at-home programs under the Centers for Medicare and Medicaid Services’ Acute Hospital Care at Home waiver, bringing the total number of programs to 336 across 37 states, according to the agency’s website. More programs are slated to launch this year as Congress considers whether to extend the waiver beyond its Dec. 31 expiration date. Hospital-at-home allows certain patients to receive acute-level care where they live through telehealth and in-person visits, supplemented with remote patient monitoring. The concept gained traction during the COVID-19 pandemic when CMS approved a waiver in 2020 to alleviate overcrowding in hospitals. Large health systems, including Mass General Brigham, Geisinger and the Cleveland Clinic have invested heavily in home-based acute care. Many smaller hospital systems are doing the same by leveraging in-home care technology.

Breaking down walls: The other care models marking their territory in home-based careHome Health News; by Joyce Famakinwa; 5/17/24Traditional home-based care companies aren’t the only ones serving seniors, while helping shift care away from brick-and-mortar settings. Adult day, PACE and continuing care retirement communities (CCRCs) without walls are a few of the care models working to meet the needs of seniors that want to age in place. In many ways, these care models are natural allies to home-based care providers.

Home care providers need to step up worker safety initiatives, experts sayMcKnight's Home Care; by Adam Healy; 5/14/24In the aftermath of the Occupational Safety and Health Administration’s citing of Elara Caring for failing to protect a worker killed on the job, safety and legal experts are urging providers to be proactive about implementing worker safety practices. “We have been seeing a rather significant uptick in workplace violence issues in the home-based care industry,” Angelo Spinola, an attorney at Polsinelli, told McKnight’s Home Care Daily Pulse, in a statement. “We highly recommend that providers take proactive steps to implement home-based care specific policies and procedures and conduct workplace trainings that address common issues such as what to do if a client is acting erratically, how to report unsafe conditions in the home [such as an unsecured firearm], de-escalation techniques, etc.”

‘Bodacious’ mentorship, honesty needed to retain LTC leaders of tomorrow, experts sayMcKnight's Long-Term Care News; by Josh Henreckson; 5/17/24Cultivating mentorships in long-term care is vital to bringing up and retaining the next generation of sector leaders, a group of six prominent women leaders said this week at a McKnight’s Women of Distinction Forum panel. The speakers ... repeatedly emphasized the core needs of honesty, humility and an ongoing commitment to learning for successful mentors.

Hospitals Are Refusing to Do Surgeries Unless You Pay in Full FirstWall Street Journal; by Melanie Evans; 5/9/24Now, more hospitals and surgery centers are demanding patients pay in advance. Advance billing helps the facilities avoid hounding patients to settle up. Yet it is distressing patients who must come up with thousands of dollars while struggling with serious conditions. Heather Miconi has seven weeks to come up with $2,000 to pay for surgery her daughter needs to breathe more easily. Merritt Island Surgery Center in Merritt Island, Fla., billed Miconi in advance of the adenoid and tonsil surgery. If she can’t pay for the surgery before it is scheduled to take place next month, the procedure will be put off. Miconi, whose insurance won’t cover the cost because she has a high deductible, works three jobs and doesn’t have savings to cover the cost. She is now appealing to strangers through a GoFundMe campaign for help. For years, hospitals and surgery centers waited to perform procedures before sending bills to patients. That often left them chasing after patients for payment, repeatedly sending invoices and enlisting debt collectors. Those who can’t come up with the sums have been forced to put off procedures. Some who paid up discovered later they were overcharged, then had to fight for refunds. Among the procedures that hospitals and surgery centers are seeking prepayments for are knee replacements, CT scans and births.

Surging hospital prices are helping keep inflation highWall Street Journal; by Melanie Evans; 5/16/24A 7.7% increase in prices at hospitals last month was the highest in 13 years. ... Hospitals didn’t raise prices as early in the pandemic as supermarkets, retailers and restaurants. But they have been making up ground since then. Their increases have contributed to stubbornly high inflation readings from the consumer-price index, which in April increased 3.4% from a year ago. Hospital prices specifically jumped 7.7% last month from a year ago, the highest increase in any month since October 2010, the Labor Department said Wednesday. ... Hospitals sat out the first waves of inflation that swept through the economy in recent years, though not by choice. Their prices were locked in under contracts with health insurers, for more than a year in some cases. As hospitals have renegotiated prices, inflation has taken hold.

Aveanna is looking to grow in its ‘rightsized’ home health segment again Home Health Care News; by Andrew Donlan; 5/14/24 Aveanna Healthcare Holdings leaders believe the company is back at a place where it can bank on near-term growth in its Medicare-certified home health business. It first entered into a business “transformation” in January 2023, and that transformation is already paying dividends, according to CEO Jeff Shaner. But much of the turnaround has been led by the private-duty services segment. Now, Shaner sees a path for the company to begin accelerating its home health and hospice lines. 

Highmark Health lays off dozens of employees Modern Healthcare; by Lauren Berryman; 5/8/24Highmark Health has laid off 47 employees in its latest round of job cuts. The Pittsburgh-headquartered organization owns Highmark Inc., which provides health insurance plans to 6.9 million policyholders in Pennsylvania, West Virginia, Delaware and New York. It also operates Allegheny Health Network, which comprises 14 hospitals. A Highmark spokesperson declined to answer questions about the types of roles or specific locations affected. ... The most recent layoffs, which were first reported by news outlet PennLive Tuesday, follow the 182 jobs Highmark eliminated in March. The organization has laid off at least 229 employees so far in 2024.

Life Coordinated Commonwealth Pace holds ribbon cutting Marshall County Daily; by Staff Report; 5/10/24 Life Coordinated Commonwealth Pace held a Ribbon Cutting on Friday morning with special quest Governor Andy Beshear in attendance to launch the Program of All-Inclusive Care for the elderly in Western Kentucky. This is the first of three planned KY Pace centers which provide elders an option for in-home care versus nursing home care.  Life Coordinated Commonwealth Pace will serve qualifying PACE members in a six-county area in Western Kentucky that includes Marshall, Calloway, Graves, Hickman, Fulton and McCracken.

HCA accused of withholding pay of 1,000 workersBecker's Hospital Review; by Kelly Gooch; 5/6/24 HCA Healthcare faces a lawsuit alleging its Asheville, N.C.-based Mission Health illegally kept pay from at least 1,000 employees, the Citizen Times reported May 6. Sharon McRee — who said she worked as a nonexempt, hourly respiratory therapist at Mission from July 2002 through its 2019 acquisition by Nashville, Tenn.-based HCA before leaving in July 2022 — alleges she and approximately 1,000 or more employees "clocked in as required and performed the principal activities of their jobs," but their employer "generally did not pay them for all of their time worked," according to the lawsuit, which was accessed by Becker's.

Georgia system reopens hospital to inpatient services Hospital CFO Report; by Mariah Taylor; 5/2/24 Piedmont Augusta (GA) is reopening the emergency department and inpatient services at its Summerville campus after converting the location into an outpatient campus over a year ago. Effective May 16, the hospital will open 15 beds in the emergency department, 12 inpatient unit beds, and new imaging services. Outpatient services will continue as normal, according to a May 1 system news release. "What we heard pretty quickly from our community is that they missed the efficiency of that campus," Lily Henson, MD, CEO of Piedmont's Augusta clinical hub, said in the release.