Home Health Care News June 14, 2020
Robert Holly

Medicare-certified home health agencies have now had over a full quarter to adapt to the Patient-Driven Groupings Model (PDGM).

While comprehensive claims data is still coming in, a few interesting patterns are already starting to emerge.

Among the high-level takeaways, case mixes appeared to be higher during the first quarter than what the U.S. Centers for Medicare & Medicaid Services (CMS) anticipated, according to Nick Seabrook, managing director and a founding member of BlackTree HealthCare Consulting.

“Case mixes were generally up,” Seabrook told Home Health Care News. “You would have thought the average case mix would have been right around that 1.00 number, because that’s exactly what CMS intended to do — kind of level-set with PDGM.”

Overall, average...

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