How to grow your member base

October 6, 2017| Blog, Homecare, Provider

Home care agencies have become a critical component of the overall healthcare system, providing individuals with the care they need, all while saving the system the expense of high-cost alternatives like hospitalizations or long-term care options. As baby boomers continue to age, the demand for in-home care services is bound to increase. This provides the home care industry with a significant opportunity for growth, but how do agencies ensure they are among the businesses that swim, rather than sink, in this newly competitive market?

Increasing referral revenue should be top-of-mind for all home care providers. But, as an agency grows, it becomes nearly impossible to manually track and manage referrals from hospitals and payers. Instead of suffering through traditional referral management methods, providers would benefit from an integrated system that allows for direct communication with the source, including insurance companies, managed care organizations (MCOs) or state and federal payers. Once providers have implemented an open line of communication with payers and streamline the referral process, they can focus their efforts on expanding the agency and providing high-quality care to its growing number of members.

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Integrated EVV is the center of successful agency management

October 2, 2017| Blog, EVV Bill, HR Bill 2446

We’re all familiar with electronic visit verification (EVV), but are most people losing sight of its importance as the center of successful agency management? Sure, it’s an effective monitoring tool for tracking arrivals and departures, but top home care agencies are also using EVV as the engine to drive successful agency management. When EVV drives value throughout the whole platform including billing, auditing, payroll and aide management, agencies run more smoothly.

As anybody in the home care industry knows, traditional EVV tracks visit arrival and departure times, requires comments detailing the type of care provided during a visit and notes when a visit hasn’t been completed. Altogether, it serves as a monitoring tool that simplifies billing for providers and lets payers know when the care being paid for is the same as that being delivered. That said, agencies can leverage integrated EVV platforms to more efficiently track and verify that a patient is receiving proper care and that caregivers are adhering to a member’s plan-of-care. Read More

HHAeXchange ranks on the annual Inc. 5000 for the third straight year

September 5, 2017| Blog

This is a big year for HHAeXchange. For the third consecutive year, Inc. Magazine has ranked our organization on its annual Inc. 5000, a prestigious ranking of the nation’s fastest-growing private companies. The list represents a unique look at the most successful companies within the American economy’s most dynamic segment – its independent small and mid-sized businesses. This is a tremendous honor as well-known names including Microsoft, Dell, Pandora, LinkedIn and Yelp gained their first national exposure on the Inc. 5000 list. HHAeXchange was ranked #2840 with a whopping 120 percent three-year growth.

While this is a tremendous honor, it doesn’t change our goal to continually get better to help our customers deliver the best possible home care. From technology to customer service, we have a road map in place to ensure that home care agencies are equipped to grow their businesses as well.

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Home care populations on the rise, is your agency ready?

August 28, 2017| Blog, Homecare

In the next 30 years, the number of senior citizens in the United States is expected to reach nearly 89 million, which is more than double the current population. As people live longer with and develop more chronic diseases, there will continue to be a growing need for home care providers. The Home Care Association of America estimates that at least 70 percent of adults over 65 will require care at some point, and 90 percent of those adults say they want to stay in their homes for as long as possible.

Hospital readmissions are already costing the country billions of dollars each year, and convalescent care is no longer an appealing option for seniors who prefer to age in place. The Affordable Care Act has expanded states’ responsibility for providing service to Medicaid members, but hasn’t fully equipped states or managed care organizations (MCOs) with the means or experience to do so effectively. The home care industry is already used to working with the most vulnerable populations – the elderly, disabled and chronically ill – but is your home care agency ready for this influx of members? Read More

Don’t let billing back up your business

August 11, 2017| Blog

How many hours a day does your agency spend sorting through billing and payroll processes? Every insurance company, state waiver program and community initiative has its own unique and often complex set of billing rules, which means agencies must devote hours to ensuring rule compliance and accurate billing, or they may never get paid.  Don’t spend hours on claims that might get denied, wasting time that could be better spent elsewhere – namely, taking care of your members and growing your agency. Traditional billing processes don’t cut it anymore, as tedious, manual methods limit visibility and make it more difficult to ensure accuracy.

These methods also make it harder for agencies to grow. Scaling up a business to add more patients is a difficult task, especially if each new patient requires more hours spent on billing. Automating this process is a gamechanger that allows home care agencies to focus on growth, patient care and other core aspects of the business. Read More

How Medicaid Payers can achieve greater visibility with consumer directed services

July 24, 2017| Blog, CDS, Homecare, Payer

In the United States, Consumer Directed Services (CDS) continues to grow as states prepare to address a looming shortage of home care workers. A recently proposed bill calls for reimbursement increases for personal support (11 percent) and self-directed services, as well as an increase for some home aide and registered nurse services (14 percent). In other countries, CDS is even becoming more prevalent. For example, Australia recently rolled out a Consumer Directed Care program that provides members more control over the types of care and services they access and the delivery of those services, including who delivers the services and when. Read More

Don’t work overtime to manage overtime

June 23, 2017| Blog, Homecare

Since the Fair Labor Standards Act went into effect in 2015, granting home care workers the right to overtime compensation, overtime management has become a significant challenge facing home care providers. Not only is it difficult for small agencies to afford paying employees overtime, but the manual process of tracking aide hours and calculating overtime pay also costs agencies a significant amount of administrative time.

So, how can agencies effectively manage overtime and even out aide workloads, so one caregiver isn’t underused while another is overscheduled? Read More

Successful home care agencies need tools that drive streamlined growth

June 9, 2017| Blog, EVV Bill, HR Bill 2446, Health Care, Homecare, Technology

When home care agencies begin to grow and expand, many variables – from confusing technology compliance updates to sky-high administrative expenses – often hinder even the best intentions. But getting lost in the details – such as to how best schedule your caregivers based on a client’s specific gender or language preferences – only holds you back from growing intelligently.

Home care agencies are becoming an important facet of society, especially as baby boomers, now a sizable 13 percent of the U.S. population, are already requiring high quality, independent, patient-centered home care, and that demand will grow in coming years. If you are a home care agency ready to grow in size to keep up with future demand, a workflow by exception software platform that dramatically increases your agency’s efficiency and scale is critical.

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Simplifying scheduling with integrated dashboards

June 2, 2017| Blog, Health Care, Managed care, Provider, Technology

A quality employee base is important in every industry, but in home care, it’s an absolute necessity. Providers invest a lot of time into managing their caregivers, from ensuring they have the right certifications to maximizing each aide’s schedule. Provider agencies that don’t manage their caregivers efficiently and effectively could lose out on revenue and billing opportunities, impacting their bottom line in the long run.

Caregiver burnout is a significant industry problem, with 40-60 percent turnover rates in home care agencies leading to an estimated $5 billion in turnover costs each year. Aides who feel overworked or who are paired with clients who are ill-suited to them – and therefore difficult to manage – may be more likely to leave an agency. Agencies need to leverage the available technology and processes to address these challenges and retain quality talent. Read More

Why value is the hottest word in home care

May 23, 2017| Blog, Homecare, Managed care, Provider

Value-based care is a major area of focus in the health care community and home care is no exception. Managed Care Organizations (MCOs) are under tremendous pressure to deliver value – improving results while controlling costs – and these efforts will inevitably put similar pressure on providers.

As a result, MCOs will be assessing prospective network providers with a keen focus on their ability to deliver value. Home care providers that can demonstrate value will have a substantial advantage in this new landscape as payers look to build out a network that can provide the most efficient and effective care. Providers that can do this will benefit from increased referrals and an opportunity to substantially grow their agency.

While value is a word that is being thrown around by almost everyone in the industry, what does it mean for a home care provider to demonstrate value? The simplest way to think about this is to put yourself in the payer’s shoes: If you are looking for home care agencies that you can trust, what do you want to see?

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