Following this year’s annual National Association for Home Care & Hospice Conference, the scariest event facing the Home Health industry wasn’t Halloween…it was the pending implementation of Patient-Driven Groupings Model (PDGM) beginning January 1, 2020!
PDGM conversations abounded during the conference in educational seminars, on the expo floor, during meals, and at oxymoronic “Happy Hours”!
Many related and non-related PDGM questions were overheard during the three-day event:
- How much extra cash does my agency need to get through the first few months of PDGM?
- What is the likelihood that CMS will give us back the 8.1% behavioral cut before 1/1/20?
- How will Medicare Advantage Payors pay us under PDGM? Keeping PPS fee structure? Applying PPS discounts to PPS payments? Other?
- What’s happening with the Rural Add-on payments?
- What is the new Notice of Admission requirement all about?
- Why is Medicare Advantage continuing to grow in my market?
- What’s happening with the Value Based Purchasing pilot? Will it be coming to my state soon?
- Review Choice Demonstration Project – what is it and how does it impact me and my agency?
- Why did CMS announce a new Hospice ‘Carve-In” pilot for Hospice? How will that affect me and my agency?
- We haven’t seen much happening with the addition of non-skilled care being allowed in Medicare Advantage. Why not?
- There have been several very large HHA/Hospice acquisitions during the past twelve months. Why are these larger agencies selling?
If you would like to talk further about what all of this may or may not mean to you, your business, and your business’ valuation, please contact Mark Kulik. After 20 year of being in business and over 330 successful transactions, “we know a few things, because we’ve seen a few things.”
Mark can offer you more details, specific context and what we expect to see home health, home care, and hospice M&A for 2020 and thereafter.
All conversations are kept in strict confidence.
