Literature Review

The Top 10 Home Health Care News Stories Of 2023Home Health Care NewsDecember 20, 2023In the first year that truly felt “post-COVID,” home-based care providers did not see a shortage of challenges. Instead, in 2023, home health providers saw another year defined by payment struggles, with both the Centers for Medicare & Medicaid Services and Medicare Advantage plans.  ... Reflect back on this year in home-based care by revisiting 10 of HHCN’s most widely read stories.

Hospice, Home Health Providers ‘Squeezing Turnips’ Competing for Clinical StaffHospice NewsDecember 20, 2023Hospice and home health care providers’ recruitment and retention strategies have narrowed their focus on workers’ key priorities, with organizational culture among the heaviest hitters on their lists. Amid workforce shortages, hospice and home health providers are often at a disadvantage when it comes to competing with other health care organizations that can have greater financial resources, according to Bill English, president and CEO of Accurate Home Care. 

Think tank raises fraud, waste allegations within New York’s home care industryMcKnight’s Home Care DailyDecember 20, 2023On Tuesday, New York’s state assembly heard proposals regarding expansion of the healthcare workforce. But critics cautioned against overreach as the labor force is already “bigger and better paid than ever.” 

Berkshire VNA Nurses and Healthcare Professionals Reach Tentative Agreement on First MNA Contract to Stabilize Staffing and Improve Patient CarePRNewswireDecember 18, 2023Pittsfield, MA—The nurses and healthcare professionals of the Berkshire Visiting Nurse Association, represented by the Massachusetts Nurses Association, reached a tentative agreement on December 15 with Berkshire Health Systems, agreeing on contract terms that give BVNA clinicians a wage step scale and tackle some productivity issues to help with recruitment and retention and address patient care access problems. 

Study uncovers racial, geographic disparities in LTSS accessMcKnight’s Home Care DailyDecember 19, 2023Disparities in access to long-term services and supports (LTSS) create greater financial and health-related challenges for people of color, according to new research by healthcare research firm ATI Advisory. Using data from a University of Michigan Health and Retirement Study, the ATI study sampled 6,232 people aged 55 years old and living in home- or community-based settings. 

Staffing issues continue to drive reduced admissions in SNFsMcKnight’s Senior LivingDecember 18, 2023Nursing home providers continue to struggle with staffing challenges as they aim to reboot admissions in the post-pandemic era, according to the newly released results of a recent Ziegler CFO Hotline survey. “The demand for our SNF services is rising at a rate significantly higher than our labor force allows,” said one respondent. ... Forty-six percent of the respondents to the November survey indicated that staffing issues have forced a reduction in SNF admissions. 

SEARHC defends Home Health closure at Sitka Assembly meetingKCAW-FM (Sitka, AK)December 15, 2023Sitka, AK—What will home health look like in Sitka without a home health department at the local hospital? The top doctor at the Southeast Alaska Regional Health Consortium or SEARHC gave an update on the future of home health services at the Sitka Assembly meeting on Tuesday.

NAHC President Bill Dombi—History Repeating Itself on Hospice Program IntegrityHospice NewsDecember 14, 2023Issues of fraud in the hospice industry echo events that previously affected the home health space, and providers can learn from that prior experience. This is according to Bill Dombi, president of the National Association for Home Care and Hospice, who spoke Thursday in a Relias webinar. ... “What I’m seeing is history repeating itself. Back in the 1990s, the microscope ended up focusing on the Medicare Home Health Program. 

Boston VNA Nurses and Healthcare Professionals Cast a Unanimous Vote Authorizing a 14-day StrikePRNewswireDecember 13, 2023Boston, MA—In response to an increase in the complexity of care required for patients admitted for care at home, in conjunction with a lack of staff and resources to provide that level of care, the 60 registered nurses and healthcare professionals who work for the Visiting Nurses Association of Boston/VNA Care, cast a unanimous vote to authorize a 14-day strike in an effort to move their administration to provide the staffing and wage enhancements they need to provide the care their patients deserve. 

Plains hospital ends home health servicesClark Fork Valley Press (Plains, MT)December 13, 2023Plains, MT—Clark Fork Valley Hospital will close its Medicare certified home health agency at the end of the year. According to a press release from the hospital, hospice services will not be affected and will continue unchanged. Hospital officials cited ongoing labor shortages, financial losses and regulatory burdens of operating Home Health organizations as reasons for the closure. 

Memory Care Gap—GAO Report Shows Less than 2.5% of Medicare Beneficiaries with Alzheimer’s Receive Cognitive AssessmentSenior Housing NewsDecember 13, 2023Between 2018 and last year, use of cognitive assessment and care plan services tripled, but few Medicare beneficiaries who qualify received the service, according to a recent study by the Government Accountability Office. The GAO study found that, at most, 2.4% of Medicare beneficiaries with a diagnosis of Alzheimer’s disease or a related disorder received this service. 

Home Health Industry Leaders Scoff At ‘Distorted Picture of Reality’ Painted By MedPACHome Health Care NewsDecember 12, 2023The Medicare Payment Advisory Commission recommended that the Medicare base payment rate for home health care be reduced by 7% for CY 2025. The recommendation is another chapter in the contentious relationship between the commission and the home health industry. It also recommended that Congress eliminate any payment updates for hospice providers in 2025. 

Kroger Health boosts investment in senior primary careModern HealthcareDecember 11, 2023Kroger is testing a strategic shift for its in-store clinics and moving into primary care for seniors. This month, its Kroger Health unit transitioned eight of The Little Clinic sites in Atlanta to focus on seniors, in addition to their regular services. If the change proves successful, Kroger wants to expand it to other existing locations and potentially new markets, said Jim Kirby, Kroger Health’s chief commercial officer. “We want to make sure that we’ve got the model right, and that we’re seeing the outcomes from the patients that we expect,” he said. “We want them to have that relationship with us, [so] that we can go deep with them, and we can do the best job we can to quarterback their care.”