Tag: Financial

The 2025 Medicare Advantage Shift: Is Your Home Health Agency Prepared?.The healthcare landscape is rapidly evolving, with Medicare Advantage (MA) poised to reshape home health operations in 2025. For agencies heavily reliant on Traditional Medicare,...

CMS Expanded HHVBP Model: April 2023 PIPR Available in iQIES.The April 2023 Pre-Implementation Performance Report (PIPR) is available to download from the Internet Quality Improvement Evaluation System (iQIES). Instructions on how to access...

LUPAs get trickier under latest PDGM recalibration, tighter reimbursement.Managing lower utilization payment adjustments, or LUPAs, is always tricky business for home health agencies, and SimiTree financial experts say the stakes will be even higher for...

Lean times: A look at Medicare’s 0.7% rate hike.Consultants offer 7 strategies to help counter uncertainty A sliver of an increase may be preferable to a decrease, but the consensus among home health stakeholders is that...

What will change in VBP baseline year mean?.When the Centers for Medicare and Medicaid Services (CMS) published the proposed home health payment rule for 2023, it included the expected implementation of a nationwide...

Will home health rate cut be frozen?.Home health agencies are battening the hatches for Medicare’s proposed rate cut in 2023, with industry advocates cautioning that a 4.2 percent reduction could leave as many as 44...

New G codes proposed for telehealth, but no pay.As Medicare looks to begin tracking the number of telehealth visits by discipline without offering any reimbursement to home health providers, SimiTree consultants say providers...