PDGM Articles and News
What is PDGM?
The Patient-Driven Groupings Model (PDGM) is a new payment model for the home health industry that relies more heavily on clinical characteristics and patient information to determine care. It eliminates the use of therapy service thresholds and changes the basic unit of home health payment from a 60-day episode to 30 days. The National Association of Home Care & Hospice calls it “the biggest change to the payment system in the 21st century.” PDGM is set to take effect Jan. 1, 2020. To help home health business stay informed, we’ve set up this page that will keep up with the latest updates. Check back frequently for more news, guidance and learning opportunities.
SEATTLE (October 14, 2019) –PointClickCare, a software vendor for the senior care market, announced efforts to help homecare providers effectively prepare for an evolving value-based payment environment, including the Patient Driven Groupings Model (PDGM).
WASHINGTON, D.C. (October 3, 2019)—The Centers for Medicare & Medicaid (CMS) announced that the next state to participate in the Review Choice Demonstration (RCD) is Texas and it will begin on Dec. 2, 2019. CMS also indicated that implementation of RCD in the remaining states of North Carolina and Florida is expected to begin on March 30, 2020, as CMS is pausing implementation to allow for the transition to PDGM which begins on Jan. 1, 2020.
WASHINGTON, D.C. (September 17, 2019)—The National Association for Home Care & Hospice (NAHC) submitted comments on the 2020 home health prospective payment system rate update proposed rule.
DALLAS, Texas and SAN JOSE, Calif. (September 16, 2019)—Home health care technology provider Axxess is adding resources to help clients succeed under the Patient-Driven Groupings Model (PDGM) by partnering with Connected Home Living, Inc. to provide telehealth and remote care monitoring solutions.
How 3 major providers are approaching the new care model
Agoura Hills, Calif. (August 26, 2019)—Casamba, a provider of electronic medical record (EMR) solutions for contract therapy providers, skilled nursing facilities, home health and hospice agencies, and outpatient therapy, today announced nVoq has been added as the preferred speech recognition partner.
AGOURA HILLS, Calif. (August 21, 2019) – Casamba, a provider of electronic medical record (EMR) solutions for contract therapy providers, skilled nursing facilities, home health and hospice agencies, and outpatient therapy, today announced the launch of Casamba HomeTherapy.
Handling medical equipment and prescriptions for hospice patients
BIRMINGHAM, Alabama (August 1, 2019)—Many small to mid-sized home health agencies will suffer if the Patient-Driven Groupings Model (PDGM) is enacted as planned, according to Amedisys President and CEO Paul Kusserow—presenting his and other large company opportunities to increase market share.
DALLAS (July 30, 2019)—A nationwide series of one-day interactive seminars will help home health providers learn strategies for success under the Patient-Driven Groupings Model (PDGM), the new payment model set to start Jan. 1, 2020. The nine seminars are hosted by Axxess, a home health care technology provider.
DALLAS, (July 23, 2019)—Home health care technology provider Axxess has introduced several valuable tools within its software solution to help clients prepare for the Patient-Driven Groupings Model (PDGM), which goes into effect Jan. 1, 2020.
WASHINGTON, D.C. (July 11, 2019)—The Centers for Medicare & Medicaid Services (CMS) announced on Thursday, July 11 that it had proposed a new rule to update the rates and wages for home health care for 2020, and implementing the Patient-Driven Groupings Model (PDGM), as well as other items.
Determining which alerts and tools matter to your organization
Birmingham, Alabama (June 7, 2019)—About a third of providers don't expect the Patient-Driven Groupings Model (PDGM) to change their therapy utilization, according to a survey conducted by the National Association for Home Care & Hospice (NAHC) recently concluded a survey of the home health industry on the subject; another quarter of respondents to the survey said they expect a decrease of 10% or more.
BIRMINGHAM, Ala. (May 29, 2019)—HomeCare Magazine, the leading business magazine for home medical equipment and home health professionals, is pleased to announce a free webinar presented in partnership with PointClickCare.
The live, online event, “Setting Your Staff Up for Success Under PDGM: A Panel Discussion,” will take place Wednesday, June 26, 2019, at 2 p.m. EST. Registration is free at homecaremag.com.
WASHINGTON, D.C. (May 9, 2019)—On Wednesday, May 8, a bill to prevent the Patient-Driven Groupings Model (PDGM) rate cuts was introduced in the House of Representatives, an important priority for the home health community and something advocates from the National Association of Home Care & Hospice (NAHC) have been working on.
PEACHTREE CITY, Ga. (May 9, 2019)—KanTime Healthcare Software and Excel Health announced a partnership to bring Excel’s business intelligence to KanTime home health and hospice customers. This strategic alliance includes joint education for KanTime customers to more effectively compete in today’s home health and hospice landscape.