The ability to successfully navigate the complexities of Medicare reimbursement models remains a top priority for care at home leaders. Despite the evolving and complex payment landscape, there are strategies that leaders can implement to ensure growth and optimize revenue.
Christina Andrews, Senior Director of Professional Services at 小猪视频, and Mike Carr, Senior Director of Training and Education at 小猪视频, the concern surrounding payment models discovered in . They also noted strategies for success that will be outlined in the upcoming at the 2025 小猪视频 Growth, Innovation and Leadership Experience (小猪视频).
Ensuring Success
During the discussion, Andrews emphasized the challenges that care at home providers face with new payment models, as outlined in the.
In response to that finding, Carr highlighted the practical and dynamic nature of the upcoming . The class will cover Medicare reimbursement models, including Patient-Driven Groupings Model (PDGM), Home Health Value-Based Purchasing (HHVBP), and the newest episode payment model, Transforming Episode Accountability Model (TEAM).
He emphasized the value of shared knowledge and practical solutions, as well as the importance of providing actionable takeaways that can be applied across different organizations.
鈥淚 think having these actionable takeaways about what鈥檚 worked for one organization is something that other organizations can learn from,鈥� Carr said.
Carr also highlighted the need for collaboration between clinical and operational teams, adding that this collaboration is essential for navigating and understanding complex Medicare reimbursement models.
鈥淵ou need to have that interaction from both the operational as well as the clinical teams to ensure success,鈥� Carr said.
Carr added that the masterclass will bring together both clinicians and executives to foster a shared understanding, ensuring that every part of the organization is aligned.
鈥淲e really need to focus on both sides to bring everyone together to make sure we鈥檙e all speaking the same language, and really setting ourselves up for success,鈥� Carr said.
Value-Based Purchasing
The pair concluded the discussion by focusing specifically on HHVBP. Carr noted that while competitive, HHVBP can be a very rewarding system, citing the focus on year-over-year improvement.
Carr again emphasized the importance of understanding the reimbursement structure and adopting strategies that can lead to success while avoiding financial penalties.
鈥淭here’s certainly the potential for that bonus reimbursement,鈥� Carr said, 鈥渂ut probably equally as important is that need to avoid falling below the median, incurring any kind of financial penalties.鈥�
To learn more about how care at home providers can optimize their revenue and ensure growth, register for 小猪视频, being held May 5-7 in Dallas.