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?

Read More

What you missed at the PHA Annual Conference

May 9, 2017| Blog, Events and Tradeshows, Pennsylvania, Provider

Community HealthChoices is bringing managed care to the Pennsylvania home care market, and last week’s Pennsylvania Home Care Association (PHA) Annual Conference was a critical event for home care agencies to learn more about what these changes mean.

As a key player at the event, our HHAeXchange team had dozens of conversations with home care providers to understand their concerns and help educate them on critical actions to ensure they are ready for a managed care ecosystem. Here is what our team heard about and discussed at the show:

  • Greg Strobel, president: “In looking at the Pennsylvania market, there is no question that there is opportunity for growth, and many agencies we spoke with at the show are using agency management systems that won’t support agencies that expand above the 100 census threshold. As the CHC deadline approaches, it’s imperative that agencies consider a platform that will account for this growth.” Read More

Upcoming webinar: Are you 21st Century CURES Act compliant?

April 25, 2017| Blog, EVV Bill, HR Bill 2446, Payer

The 21st Century CURES Act enforces the use of electronic visit verification (EVV) to combat fraud, waste and abuse in home care, but that’s not all. The benefits can go well beyond simply tracking arrivals and departures and include financial, operational and clinical benefits organizations may want to consider.

There are only a few seats left for our webinar on Thursday titled “EVV is Mandatory: A Roadmap for Optimizing your Strategies.” During this free webinar, you’ll get a detailed look at everything Medicaid payers and State Medicaid organizations need to know about the mandate and how to optimize the active management of home care. The discussion will include:

  • An overview of the CURES Act, including the funding match from the federal government
  • The strategic position of EVV and what it enables
  • Specific concepts for optimizing EVV implementations
  • A pros and cons discussion of different models that have been pursued
  • HHAeXchange’s recommended Golden Rules for EVV strategy
  • What you can do to influence model adoption

Read More

Reduce aide turnover with three easy moves

April 20, 2017| Blog, Provider

In late 2016, the New York Times reported that home care aides represented one of the fastest-growing jobs in America, with more than 1.4 million people employed in the role. The same report indicated that turnover in the space hovers between 40 and 60 percent annually.

As an agency owner, you know that one of the most challenging aspects of your job is finding, maintaining and managing home care aides. And we’re not here to tell you that we can solve your problem with the snap of our fingers, but we do have three recommendations that can help you increase both retention and satisfaction rates for your aides.

  1. Make sure they get paid: Understandably, home care aides want to be compensated for the important work they do. Many providers today rely on manual schedules and excel sheets that can lead to calculation errors and missed hours worked. By investing in a central platform, you can create schedules and track hours automatically, reducing errors and ensuring accurate payment. You’ll also avoid under- or overbooking an aide and cut your administrative costs.
  1. Make their jobs (and yours) easier: Home care aides work hard, and the work they do that isn’t directly connected to delivering high quality member care can be frustrating. Choose a platform that provides your aides with the option to download an app. With HHAeXchange, for example, aides can login to the app to check or change their schedules, track their time and access member history information on the go – allowing them to provide better care.
  1. Make sure they feel connected: Everyone wants to be a part of a community, and home care aides are no different – even though they tend to work in solo situations. By providing your aides with a virtual community, you can start to build a culture that makes them feel connected to their peers and their agency. Polls have consistently found that employees who feel connected do better work and stay with their employer longer.

Home care is a growing – and competitive – industry. Stop spending so much time backfilling vacant aide positions so you can focus on increasing referrals and growing your business.

HHAeXchange is the only platform on the market that integrates everything from EVV to HR into one system. Schedule a demo for more info.

Why Payers should go beyond traditional EVV in Florida

March 24, 2017| Blog, Health Care, Homecare, Payer, Technology

Late last year, Congress passed the 21st Century CURES Act which, among other things, requires that all fifty states must choose a form of electronic visit verification (EVV) to verify in-home visits for both home care and personal care appointments. While EVV systems work to combat fraud and abuse to ensure members are receiving proper care and caregivers are held accountability, it is only the first step in a truly effective home care program.

While EVV is an effective monitoring tool for tracking arrivals and departures – thereby reducing false claims of time spent with a member – it only goes so far. Capturing and tracking data from an EVV solution won’t help Medicaid payers reduce readmissions and monitor other quality measures unless they actively manage the process and consider a collaborative and transparent home care platform. Read More

New survey data reveals State of Home Care surprises

February 28, 2017| Blog, Homecare, Survey

The home care industry is complex. The American healthcare system is struggling to serve an aging population, a challenge that home care can help address. But with just five percent (150.4 million USD) of the 3 trillion USD national healthcare budget, home care players are struggling to keep up, let alone innovate.

We recently surveyed 250 individuals who were directly involved in the home care process, either through their own experience or a loved one’s. Our questions sought to identify the benefits and challenges associated with home care, and reveal the trajectory of the industry moving forward.

The survey was divided into three sections to better identify trends within the whole of the industry: the shifting home care paradigm, the home care experience and the future of home care. Our results revealed some surprising trends; a lack of communication among payers and providers; instances of fraud, waste and abuse; and an increasing role of technology in the industry.

Specifically, we found that: Read More

Q&A: The Ins and Outs of Payroll and Consumer Directed Service

February 27, 2017| Blog, CDS, Provider, Technology

Joel Krausz of ADS is a payroll and back office automation expert. ADS has established itself as the source for all-inclusive management solutions.

What are the biggest problems home care and home health agencies have from an automation perspective? What about broader problems in automating back end functions?

JK: The problem that most home care and home health agencies have is that they don’t step back and look at the amount of manual work that goes into each pay period. These agencies lack a software system that is backed by years of design, and can handle everything in the cloud. The best organizations are able to handle an entire practice including credentialing, authorizations, HR, telephony, billing, accounting and payroll in an automated and efficient system.

Read More

Two Roadblocks in the Era of Consumer Directed Service

January 12, 2017| Blog, CDS

Consumer Directed Service (CDS) is not new to the home care industry, yet it’s becoming a focal point in 2017. Home care members are continuing to leverage family members as primary home care providers, and, as a result, are facing payroll and visibility issues.

An upcoming HHAX survey highlights the continued role of CDS, as more than 60 percent of respondents indicated they have used a family member as a primary home care giver.

While leveraging family can be a necessary and useful way to receive convenient in home care, particularly for members in rural areas, it also results in a couple of significant issues for payers and providers.

Check Your Costs

Administratively, many home care providers are wasting significant money on payroll for hundreds of family caregivers. With costs as high as 30 dollars or more for CDS payroll checks every period, home care providers are spending significant money that could be saved. Read More

Home Health Care News: Addressing OIG’s Characteristics of Home Health Fraud — Without Toppling the Whole System

January 9, 2017| Blog, Health Care, Homecare, Payer, Provider
Posted by Home Health Care News; contributed by Tom Meyer, HHAeXchange

The numbers don’t lie.

After more than 10 years serving in the New York Office of the Medicaid Inspector General, including as the Acting Inspector General, I can attest firsthand to the unfortunate instances of fraud, waste and abuse that occur with too much regularity in home health care and home care.

Between 2011 and 2015 alone, investigations from the national Office of the Inspector General (OIG) resulted in more than 350 criminal and civil actions and $975 million in receivables. In fact, the OIG estimates more than $10 billion in improper payments in the 2015 fiscal year.

In spite of the numbers that point to the need for improvements, home health and home care play a vital role in the broader healthcare ecosystem, and increasingly, states are relying on managed care organizations (MCOs) to deliver efficient and effective Medicaid programs. For MCOs and state Medicaid programs alike, the balance between preventing fraud and continuing to provide quality care is a delicate one.

ReadMore