The big news in the latest proposed rule for HH PPS was the Home Health Groupings Model (HHGM). Along with the typical recalibration to case-mix payments and case weights, did you see the significant proposals regarding the Home Health Quality Reporting Program (HH QRP)? Almost a third of the 389 pages in the rule were in regard to the HH QRP.

The Centers for Medicare and Medicaid (CMS) penalizes hospitals for Medicare readmissions. Hospitals have difficulty tracking and managing patients after discharge. At Strategic Healthcare Programs (SHP), we look at millions of records each year from the Home Health Agency Outcome Assessment Information Set (OASIS) to correlate the patient characteristics that led to a transfer or discharge to an acute care hospital (readmission). With CMS incentives increasingly directed at reducing readmission rates, hospitals can maximize their Medicare reimbursement by selecting a post-acute care (PAC) home health care provider that uses actionable, real-time analytics.

SHP is happy to adopt the new NHIA infusion industry standards to support the data initiative for patient outcome improvement. As a result, we will be replacing our existing proprietary home infusion patient satisfaction survey with the new survey, approved and issued by NHIA, for all our current and future customers. The adoption of the NHIA survey will allow home infusion pharmacies to compare their performance to a standardized national benchmark. This will be a great benefit to home infusion pharmacies as they work with referral sources and payers, and will aid their internal organizational efforts to improve performance.

The Home Health Groupings Model (HHGM), which is the most significant change to the home health prospective payment reimbursement model since its inception, was finally released on Thursday, July 28th as part of the Home Health Payment Proposed Rule for CY 2018, although it is not scheduled to be implemented until CY 2019.

The annual SHPBest recognition program was created to acknowledge home health and hospice providers that consistently provide high quality service. We are pleased to announce the 2016 SHP Best-of-the-Best winners, who have been recognized for achieving the highest overall HHCAHPS patient satisfaction or CAHPS Hospice caregiver satisfaction scores of all eligible SHP clients during the 2016 calendar year.

Brightree LLC, a leading provider of cloud-based software, and Strategic Healthcare Programs (SHP), a leading provider of data analytics and benchmarking to post-acute care providers, have released Integrated Alerting to further enhance the existing interface between two companies.

Strategic Healthcare Programs (SHP) has released a new first-in-class comprehensive Hospice Scorecard Report suite. As hospice providers and their referral sources continue their focus on quality and with the upcoming public reporting of hospice scores, the need for real-time data increases. SHP’s Scorecard suite will enhance hospice customers’ capability to measure, manage and report on quality metrics.

Home Health Care News publishes "How Home Health Can Win the Readmissions Numbers Game" using SHP's data and from insights gained during recent webinar presented by SHP's Zeb Clayton and Chris Attaya.

2017 will be an important year for the Hospice Quality Reporting Program (HQRP). CMS plans to publicly share quality scores on a Hospice Compare website starting this year. On January 18th, CMS provided a full day of training to providers in Baltimore to share information on HQRP. Along with this on-site presentation, CMS live-streamed the event online to allow as many hospices as possible to participate. Here are some of the highlights...

On January 18th, CMS presented a slideshow through their Medicare Learnings Network on a possible new payment refinement to home health care reimbursement called the Home Health Groupings Model (HHGM). This was the second call in six months where Abt Associates, CMS’ contractor, shared the HHGM background in addition to the 178 page technical report they issued in November 2016. This sure seems to be picking up speed.