Survey Shows Mixed Responses to Impending PDGM


Some expect no changes in utilization; others anticipating decrease

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.

In a change from the current prospective payment system, with a goal of providing value-based care, PDGM does not weight therapy visits toward reimbursement. Therapy services can include physical therapy, occupational therapy and speech therapy, among others. While providers will be reimbursed at a lower rate or not at all for therapy visits, they are still expected to provide therapy to patients who need it.

The results of NAHC’s survey were presented in a hosted by Cindy Krafft, PT, MS, owner and founder of Kornetti & Krafft Health Care Solutions and NAHC President William A. Dombi. The survey had a total of 685 respondents with 487 taking the full survey. Each state had at least one respondent. Providers were either freestanding (40%), institution-based (9%), health system affiliated (25%), or government-based (4%).

Fifty percent of providers do not anticipate making staff changes in therapy. Twenty-eight percent anticipate decreasing staff.

A total of 422 providers reported that current therapy frequency and duration decisions are based on decisions made by therapy and clinical staff. Some 335 providers reported this would remain the same under PDGM.

SOURCE: HomeCare Mag

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