Literature Review

Chapters Health System CEO on prioritizing value-based care initiatives in the home Home Health Care News, by Andrew Donlan; 2/26/24Andrew Molosky, the president and CEO of Chapters Health System, is keenly aware of the struggles that coincide with turning a large health care provider organization into a value-based one. The first priority in that situation, in his mind, is making sure that the entire organization is on the same page in terms of what value-based care really means, he told Home Health Care News ... “You want to get to the point where you can manage populations in the home,” Molosky said. “That becomes a parlay to reducing ER spend in a full-risk environment. It becomes earlier intervention for a hospice or home health episode. 

‘Joint employer’ rule effective date now March 11 McKnights Senior Living, by Lois A. Bowers; 2/26/24The National Labor Relations Board’s “joint employer” rule now is set to go into effect on March 11 after a federal judge granted a stay last week. ... Long-term care providers that use temporary or contract workers, as well as operators that are part of franchises, and others, could be affected.

Growing palliative care a key priority for Amedisys in 2024 Hospice News, by Jim Parker; 2/23/24Amedisys is pushing forward on palliative care growth in 2024 through its innovation arm, Contessa. The company acquired Contessa in 2021 for $250 million. ... The company has been making substantial investments in building out its palliative care services, particularly through risk-based contracts.

At life's end, the comfort of home: Rutgers study illuminates pathways to hospice careBNN, by Hadeel Hashem; 2/22/24[This] research underscores a simple yet profound truth: the utilization of home health care significantly boosts the likelihood of receiving hospice care at home during one's final days.

The bottom line: Top billing, financial mistakes responsible for home health agency struggles

Chapters CEO Andrew Molosky: Building an ecosystem of care around the seriously illHospice News, by Jim Parker; 2/13/24Going forward, hospice and other post-acute providers are preparing to operate within a value-based ecosystem, and Florida-based nonprofit Chapters Health System is no exception. ... The organization has been hard at work in recent years to position itself for risk-based relationships and build out a continuum of care for chronically and terminally ill patients, while maintaining positive employee engagement.

Will home care’s wage violations spark closures—or more workers?Modern Healthcare, by Diane Eastabrook; 2/5/24Home care providers are split on whether the Labor Department’s fines against the industry for wage violations could force more business closures or attract more workers to the high-demand sector. As more care moved into the home during the COVID-19 pandemic, the department’s Wage and Hour Division targeted home care and home health providers in 2021 for overtime infractions, worker misclassification and other violations of the Fair Labor Standards Act.

Amedisys rolls out in-home testing to reduce hospitalizationsModern Healthcare, by Diane Eastabrook; 2/8/24Home health provider Amedisys said Thursday it will begin offering in-home molecular testing to patients that will help quickly identify urine, respiratory and wound infection pathogens.

Study highlights financial burden of dementia on older adults, familiesGeorgia State University - School of Public Health, by Sam Fahmy; 2/7/24A team of researchers from the Georgia State University School of Public Health, the University of Washington School of Pharmacy and the University of California San Francisco analyzed data from a national sample of more than 4,500 adults aged 70 and older to arrive at what are thought to be the first comparisons of out-of-pocket expenses by dementia status and care setting. The researchers found that the median adult with dementia in residential facilities such as assisted living centers spent 97% of their monthly income on long-term care. People with dementia in nursing homes spent nearly 83% of their monthly income on long-term care.

[Home Health] Agencies score high on professionalism, lower on patients’ likelihood to recommend to others: CAHPS reportMcKnight's Home Care, by Adam Healy; 1/30/24Home health agencies across the U.S. were graded highly on their professionalism, but many patients have indicated they might not be likely to recommend their services to others, according to the Home Health Consumer Assessment of Healthcare Providers and Systems program’s most recent report. A total of 998,092 HHCAHPS surveys spanning more than 7,000 agencies were completed between July 2022 and June 2023, according to the report released by the Centers for Medicare & Medicaid Services.

Patient-centered focus is key to reducing hospitalizations, value-based success, experts sayMcKnights Home Care, by Adam Healy; 2/6/24To keep hospitalization rates low — and thereby produce better results within the Home Health Value-Based Purchasing (HHVBP) model — providers need a good understanding of patients’ goals to tailor care to meet their unique wants and needs. ... Keeping these goals at the forefront of care can reduce their chances of being hospitalized, according to Cindy Campbell, senior director of advisory services at healthcare technology firm WellSky. But defining patients’ goals is not just a recommendation, she noted: It’s mandated by the Centers for Medicare & Medicaid Services.

Elara Caring CEO Scott Powers: MA plans coming to negotiating table with more ‘reasonable expectations’Home Health Care News, by Andrew Donlan; 1/30/24Home Health Care News sat down with Powers to discuss the company’s top focuses in 2024, and also what they’re keying in on when it comes to Medicare Advantage plan negotiations, specific service line growth and next-generation technology.

Electronic visit verification will become industry standard in the near future, expert predictsMcKnights Home Care, by Adam Healy; 2/2/24As state Medicaid programs’ adoption of electronic visit verification (EVV) continues to grow, the technology is poised to become the norm for all of home-based care, a marketplace executive says. “For the first time in the history of this industry, you have real-time access to the caregiver in the home,” noted Stephen Vaccaro, president of home care software firm HHAeXchange, in an interview with McKnight’s Home Care Daily Pulse. “States are now starting to look at this and say, ‘What’s next?’”