Home Health & Hospice

Weekly roundup

Homecare Insider, March 14, 2016

Study makes the case for increasing PACE

An article titled “A Case Exemplar for National Policy Leadership: Expanding Program of All-Inclusive Care for the Elderly (PACE)” in the latest Journal of Gerontology charts the progress of the Program of All-Inclusive Care for the Elderly (PACE) and advocates for pilot projects authorized in the PACE Innovation Act (PIA) of 2015.

PACE provides coordinated acute, chronic care, and long-term services in an integrated seamless approach to healthcare by an interdisciplinary team across the care continuum. The program has demonstrated that it can keep individuals in the community and delay admission to institutions for an average of two years, wrote Tara A. Cortes, PhD, RN, FAAN, and Eileen M. Sullivan-Marx, PhD, RN, FAAN.

In November 2015, President Obama signed the PACE Innovation Act (PIA), which enabled the Centers for Medicare & Medicaid Services (CMS) to develop pilot projects, based on the PACE Model of Care, for additional populations, including younger individuals, people with multiple chronic conditions and disabilities, seniors who don’t meet the nursing home level of care standard, and others, the authors stated.

Source: New York University

CCRCs target new areas for home health services
Senior housing providers are extending their reach with new programs that aim to accommodate seniors who want to remain in their homes throughout retirement, but also want to ensure they will be cared for as they get older. One new model, the continuing care retirement community (CCRC) caters to seniors who want to age in place with all the service offerings of a retirement community.

Goodwin House at Home offers access to and coordination of most of the services that are typically offered to a person living in his or her own home. Goodwin House at Home will coordinate care as it becomes needed for those who enter the program with a membership and purchase of a long-term care insurance plan.

Older adults must be medically cleared to enter the program at a stage when they don’t need many services, but would like the security of knowing their needs will be met in the future. Goodwin House at Home works with multiple partners to provide services, including home health agencies and short-term rehabilitation.

Source: Home Care News

CMS releases SNF utilization and payment data
Hot on the heels of its release of home health agency utilization and payment data, CMS last week released the Skilled Nursing Facility Utilization and Payment Public Use File (SNF PUF). This data set details information on services provided to Medicare beneficiaries by skilled nursing facilities (SNF). The new data include information on 15,055 SNFs, more than 2.5 million stays, and almost $27 billion in Medicare payments for 2013. The data is posted on the CMS website.

The SNF PUF provides information on utilization, payments (including allowed amount, Medicare payment, and standard payment), and submitted charges organized by provider identification number. The data set also includes Resource Utilization Group (RUG) and state of service. The PUF is based on information from CMS’ Chronic Conditions Data Warehouse data files. The data in the PUF covers calendar year 2013 and contains all resolved SNF institutional claims for the Medicare fee-for-service population.

Source: CMS

Genesis to sell home health, hospice unit
One of the nation’s largest providers of postacute care is selling its home health and hospice operations to focus on more strategic assets. Genesis HealthCare, which has a nationwide network of community-based hospice and palliative care programs, has signed an agreement to sell the majority of its operations in these areas to Compassus for $84 million. The transaction is expected to close within the next 90 days.

The total assets of Genesis, a holding company based in Kennett Square, Pennsylvania, include more than 500 skilled nursing centers and assisted/senior living communities in 34 states. In 2015, Genesis’ home health and hospice businesses had an aggregate revenue of approximately $70 million, according to PR Newswire. 

Compassus is a nationwide network of community-based postacute care services primarily focused on hospice, palliative, and home healthcare. Based in Nashville, Tennessee, the company opened its first hospice in 1979 and following the Genesis deal will operate more than 165 programs in 30 states. The company employs more than 4,000, according to its website.

Source: PR Newswire