Hospice Self-Determined Aggregate Payment Cap Report Due February 28

Home Care Alternative Payment Models

BKD believes the future of health care includes a shift from fee-for-service payment models to alternative payment models (APM) based on fee-for-value. Home care agencies are well positioned to be key players in this shift to fee-for-value. A data-driven approach will be crucial as home care agencies strive to showcase their value through key metrics. Leading factors for successfully navigating APMs include demonstrating quality outcomes while improving the patient experience and lowering the cost of care. BKD health care professionals have developed data-driven solutions to enhance your organization’s ability to navigate APMs and successfully manage programs with collaborating entities.

Impact Beyond the Mandates

It’s anticipated that 50 percent of Medicare spending will be through APMs by the end of 2018, and home care agencies already are being affected by APM quality and cost focus. In the current bundled payment models, hospitals typically bear the financial risks and are held accountable for an entire episode of care, including acute and post-acute services. These hospitals are analyzing home care data to identify high-quality, efficient providers who can help them achieve success.

Critical Timing for Preparation

Preparing an organization to navigate APMs takes time. Organizations need to plan six to 18 months out to successfully measure, monitor and manage processes and be able to demonstrate results. Because these models rely on historical data, organizations that prepare have an opportunity to expand market share and increase referral volumes. Regardless of whether an APM currently affects your marketplace, now is the time to prepare.

Skills, Resources & Time Investments

Developing tools and processes on your own to plan your strategy can be labor intensive. However, working with your BKD advisor to employ tools and strategies can be a cost-effective option that makes the transition to an APM manageable for leadership and staff. The transition from volume to value requires leadership involvement from cross-functional teams to implement best practices and drive change management.

How to Start Preparing

Diligently conducting an initial analysis to identify and develop an effective strategy is the first step for leadership and staff in understanding and assessing the effect of APMs in your market and competitive landscape.

Contact your BKD advisor to see how BKD can help your organization shift to an APM.

John Knox Village

“The support staff of BKD provided John Knox Village with tools and training that allowed us to complete the implementation and transition in a timely manner. John Knox Village saw a drastic reduction in the outstanding accounts receivable and in the error rate on claims due to the pre-billing audit tool also provided by BKD.

Since that time, BKD has continued to provide ongoing training and consultation and still provides monthly assistance in the billing and reporting process. We all really appreciate having BKD associates a phone call away; it is more than your typical client relationship. We highly recommend that if anyone is looking for a home health accounts receivable clean-up or assistance that you look to BKD and their excellent staff.”

— Ken Siverly, Director of Finance
John Knox Village
Lee's Summit, Missouri

Howard County Home Health & Hospice

“We’ve worked with BKD for more than 20 years because their people understand the home care industry so thoroughly. BKD not only completes our financial statement audit, but we’ve tapped into a full range of additional services, including clinical and operations consulting, monthly financial statement compilations, tax return preparation, Medicare cost reports, pension plan administration and billing consulting. We are very pleased with BKD’s knowledgeable, professional staff.”

— Serese Wiehardt, RN, BSN, CHCE, Chief Executive Officer
Howard County Home Health & Hospice
Fayette, Missouri

Washington County Public Health & Home

“It is a pleasure working with our advisors at BKD. They exhibit a high level of professionalism and are knowledgeable about many facets of home health. The staff is cooperative in their efforts to fulfill our agency needs. BKD consistently provides excellent feedback and suggestions to help improve and sustain the financial stability of our agency.”

— Peggy Wood, Fiscal Administrator
Washington County Public Health & Home
Washington, Iowa

Excell Home Healthcare, Hospice and Personal Care

“BKD came in initially and helped us improve on the timeliness of our financials and now they perform a wide variety of services for us, including cost reports, clinical consulting tax preparation and financial consulting. The people at BKD are a great asset. Our advisor is easy to work with and very knowledgeable. He is accessible and takes the time to teach and advise, showing he really cares about our business.”

— Mina Acquaye, Chief Executive Officer and Administrator
Excell Home Healthcare, Hospice and Personal Care
Oklahoma City, Oklahoma

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