HHGM Insights: 60 vs . 30-Day Payment Periods CPAs & ADVISORS M. - - PDF document

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April 18, 2018 HHFMA Call With the Experts April 18, 2018 HHGM Insights: 60 vs . 30-Day Payment Periods CPAs & ADVISORS M. Aaron Little, CPA Managing Director mlittle@bkd.com 1 | | | 5 | | | | 10 | | | | 15 | | | | 20 | | | | 25 | | |

SLIDE 1

1

April 18, 2018

CPAs & ADVISORS

M. Aaron Little, CPA

Managing Director mlittle@bkd.com

HHFMA Call With the Experts – April 18, 2018

HHGM Insights:

60 vs. 30-Day Payment Periods

2 Source: 2016 Medicare home health claims analysis per Federal Register dated July 28, 2017

1 | | | 5 | | | | 10 | | | | 15 | | | | 20 | | | | 25 | | | | 30 | | | | 35 | | | | 40 | | | | 45 | | | | 50 | | | | 55 | | | | 60

23% of episodes lasted 30 days or less Average length of episode 47 days 17.6 average visits per episode

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2

April 18, 2018 3

60-Day episodes 5.1 million

30 days or less 1.2 million episodes

23%

31 days or more 3.9 million episodes

77%

30-Day periods of care 8.6 million

30 days or less 1.2 million periods

14%

31 days or more 7.8 million periods

90%

No visit & Low Utilization Payment Adjustment (LUPA) periods excluded

0.4 million periods, removed

(4%) Source: 2016 Medicare home health claims analysis per Federal Register dated July 28, 2017 4

4.0 6.0 8.0 10.0 12.0 SN PT OT ST MSW HHA Total

Average Visits Per 30-Day Periods of Care

Source: 2016 Medicare home health claims analysis per Federal Register dated July 28, 2017

SLIDE 3

3

April 18, 2018 5

4.0 6.0 8.0 10.0 12.0 SN PT OT ST MSW HHA Total

Days 1-30

Source: 2016 Medicare home health claims analysis per Federal Register dated July 28, 2017

4.0 6.0 8.0 10.0 12.0 SN PT OT ST MSW HHA Total

Days 31-60

Average Visits Per 30-Day Periods of Care

67% of resources 33% of resources 6 Source: First two quarters of 2017 paid Medicare home health claims, excluding LUPA episodes, analyzed by BKD, LLP

1 | | | 5 | | | | 10 | | | | 15 | | | | 20 | | | | 25 | | | | 30 | | | | 35 | | | | 40 | | | | 45 | | | | 50 | | | | 55 | | | | 60

22% of episodes lasted 30 days or less Average length of episode 48 days 17.8 average visits per episode

SLIDE 4

4

April 18, 2018 7

60-Day episodes 2.7 million

30 days or less 0.6 million episodes

22%

31 days or more 2.1 million episodes

78%

30-Day periods of care 4.7 million

30 days or less 0.6 million periods

12%

31 days or more 4.2 million periods

89%

No visit periods excluded

57,000 periods, removed

(1%) Source: First two quarters of 2017 paid Medicare home health claims, excluding LUPA episodes, analyzed by BKD, LLP 8

4.0 6.0 8.0 10.0 12.0 SN PT OT ST MSW HHA Total

Average Visits Per 30-Day Periods of Care, All Periods

4.0 6.0 8.0 10.0 12.0 SN PT OT ST MSW HHA Total

Average Visits Per 30-Day Periods of Care, 30-Days or Less

Source: First two quarters of 2017 paid Medicare home health claims, excluding LUPA episodes, analyzed by BKD, LLP

SLIDE 5

5

April 18, 2018 9

4.0 6.0 8.0 10.0 12.0 SN PT OT ST MSW HHA Total

Days 1-30

Source: First two quarters of 2017 paid Medicare home health claims, excluding LUPA episodes, analyzed by BKD, LLP

4.0 6.0 8.0 10.0 12.0 SN PT OT ST MSW HHA Total

Days 31-60

Average Visits Per 30-Day Periods of Care, 31-Days or More

61% of resources 39% of resources 10

Have you assessed potential impact to your agency? How does this data compare to your agency’s data? How will this change impact your agency’s operations?