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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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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Is a lack of interoperability holding back the homecare system?

April 11, 2017| Homecare, Media Coverage
HomeCare Magazine:
by Greg Strobel

The health care technology industry is innovative; intelligent tools are coming to market all the time. Even the homecare industry, which has been slower to implement new technologies than other areas of health care, has introduced many new technologies during the past several years that already or have the potential to improve how care is delivered into the home. Innovations such as electronic visit verification (EVV), customer relationship management (CRM) and even wearables—though not specifically developed for the homecare space—are in the very early stages of in-home data collection.

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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

Will the proposed Medicaid cuts affect N.Y.’s 365K in-home patients?

March 23, 2017| Homecare, Media Coverage
NY Business Journal:

These days, health care is being scrutinized more than ever before. Combating widespread fraud and waste within the system is a daunting task.

Here in New York, health care expert Tom Meyer is stepping up.

The former New York Medicaid Inspector General has 30-plus years of experience in two intertwined sectors, technology and health care. Now he’s the chief program integrity officer at HHAeXchange (HHAX), a New York City tech company that connects patients with home care providers.

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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

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.

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CURES Act’s EVV Mandate for Home Care is the First Step

December 16, 2016| Blog, Compliance, EVV Bill, HR Bill 2446, Homecare, Payer

In an industry where issues of mistrust and system abuse often rule the headlines, family and friends want reassurance that their loved ones are being provided with proper care. Government programs, like Medicaid, need accountability for the money they pay out, and proof positive that members are receiving proper care and caregivers are being held accountable. Electronic visit verification (EVV) alone doesn’t solve all problems, but implementing an EVV system is the first step to combatting fraud and abuse to ensure program integrity.

Signed into law this week by President Obama, the 21st Century CURES Act mandates, among other actions, that EVV be used for in-home visits for home care and personal care visits.

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 unless they actively manage the process and consider a collaborative and transparent home care platform.

Read More