Monday, December 16, 2013

New Study Affirms Effectiveness of Home and Community Based Services

The University of Minnesota’s National Residential Information Systems Project (RISP) recently released a study titled Residential Services for Persons with Intellectual or Developmental Disabilities: Status and Trends Through 2011 (the Study)The Study’s major findings as they apply to home and community-based services (HCBS) and rebalancing are below.

HCBS Waivers: The number of people with intellectual and developmental disabilities (IDD) that are recipients of HCBS waivers increased dramatically, from 1,381 in 1982, to 62,429 in 1992, to 373,946 in 2002, and to 616,491 in 2011.  Total IDD HCBS waiver expenditures increased from $10.9 billion in 2001 to $26.3 billion in 2010 to $27.9 billion in 2011. From 2001 to 2011, the degree of expenditure increase varied significantly across states, with Illinois, Mississippi, New York and Ohio experiencing increases above 500%, while California, Michigan, New Hampshire, Oklahoma, and Rhode Island seeing increases from 25% to 73%.  HCBS waiver recipients accounted for 69.0% of the national IDD population in 2010. 

Rebalancing: The Study provided several statistics demonstrating the success of rebalancing of the IDD population.  The average daily population living in either psychiatric or large state-operated IDD facilities decreased from 187,305 nationally in 1965 to 103,629 in 1985 and to 29,809 in 2011.  Relative to the general population, the institutionalized IDD population declined as well.   The proportion of those with IDD living in either psychiatric or large state-operated IDD facilities as compared to the general population fell from 115.8 per 100,000 nationally in 1965 to 49.3 per 100,000 in 1985 and to 9.6 per 100,000 in 2011.

Further evidence of rebalancing is demonstrated when comparing the proportion of IDD population residing in Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IDs) (27.2 out of 100,000), versus those receiving HCBS (197.9 out of 100,000) in 2011.  The utilization levels of HCBS relative to the population varied significantly among states.  Eight states had over 350 out of 100,000 receiving HCBS (Arizona, Iowa, Minnesota, New York, North Dakota, South Dakota, Vermont, and Wyoming), while five state had fewer than 100 per 100,000 receiving HCBS (Delaware, Michigan, Mississippi, Nevada, and Texas).

Cost-Effectiveness of Rebalancing: The Study confirmed the cost-effectiveness of HCBS compared to institutional care.  In 2011, annual Medicaid expenditures per person in ICF-IDs was $148,146, versus only $45,294 per person for IDD HCBS.

For the full Study, click here.

Friday, December 06, 2013

Final Home Health PPS Rule published in Federal Register

The US Department of Health and Human Services published the 2014 Home Health Perspective Payment Rule in the Federal Register on Monday, December 2, 2013. 

The CY 2014 national standardized 60-day episode payment will be $2,869.27 as compared to an average payment per episode of $2,952.03 per episode on calendar year 2013.  The new rate for agencies that do not submit quality data is reduced by 2% to $2,813.18.

The CY 2014 national per-visit rates will be:

Home Health Aide - $54.84
Medical Social Services - $194.12
Occupational Therapy - $133.30
Physical Therapy - $132.40
Skilled Nursing - $121.10
Speech-Language Pathology - $143.88

What impact will these new rates have on your home health agency?

What impact will they have on the industry?

Thursday, December 05, 2013

Free Hospital Readmission Report

One of the significant areas of opportunity for home health agencies is working closely with hospitals
to reeducate unnecessary readmissions.  In order to open up that opportunity for a meaningful discussion with hospital leaders, you need to have some facts and data about that hospital and their readmission rates.
Now, you can get a free sample report for any hospital in your market area.  If you like the sample, you can order reports for the other hospitals you serve. 

The Hospital Readmission Report is the first step in preparing your sales strategy for your key hospital accounts.  Knowing whether your hospital is in trouble on readmission penalties or if it is in the "safe zone" for now is critical in positioning your agency.

And, since the post-acute world is becoming divided between networked and non-networked providers, the Hospital Readmission Report is crucial in presenting your agency as part of the post-acute solution.  

Please contact me (Rich Chesney) by email or phone for your FREE Hospital Readmission Report.  There is absolutely no obligation and no reading between the lines.  Just send the hospital name, city and state and HMR will send you the report.  

Rich Chesney
Healthcare Market Resources, Inc. 

At Leading Home Care, we have worked with Rich for many years, and we can highly recommend that data that he provides.