The Medicare payment reduction in the home health final rule is making it difficult for providers to operate, David Grams, CEO of Compassus, told McKnight’s Home Care in a podcast. To make up for some of the financial pressures, providers have to exercise “a better stewardship of resources,” he said. This entails being mindful of staffing numbers as well as the allocation of capacity to help patients access home care from the hospital, said Grams who was in Washington, DC, as recently as this week advocating on behalf of providers.
Notes: While reimbursement poses a problem in home health, it also is challenging in hospice, particularly in rural areas. Grams supports efforts to make sure it is a “level playing field.” He also is in favor of increased hospice oversight to root out bad actors. Compassus, which offers home health, hospice, palliative care and infusion services across 29 states with 250 points of care, should see double-digit growth in all of its lines of business for the foreseeable future, Grams said. It is working to innovate across its service lines to bring technology into the home. Among its solutions are a tool that is “over 90% accurate” in trying to identify when people are reaching the end of life. It also recently introduced a patient engagement and family engagement application in a limited number of markets and is looking to expand it nationwide. Grams expects rapid growth in its SNF-at-home service line, which it introduced in 2023.
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