Medicare Home Health Agency Growth

{"type":"Bar","table":[["Year","Number of Medicare-Certified HHAs"],["2004",7651],["2008",9787],["2012",12311],["2014",12461],["2015",12346]],"options":{}}
{"type":"Table","table":[["Year","Number of Medicare-Certified HHAs"],["2004",7651],["2008",9787],["2012",12311],["2014",12461],["2015",12346]],"options":{}}

Sources: MedPAC March 2015; MedPAC June 2015 and 2016.

Home Health Compare Charts Updated – April 2016

The Home Health Compare results were updated April 20, 2016.  Nearly all measures showed improvement.  Four measures remain unchanged while one measure decreased.  The data collection period for these measures is from October 1, 2014 to September 30, 2015.


Seven of the nine measures for the Quality of Patient Care Star Ratings showed improvement.  Influenza immunization received for current flu season decreased for the second reporting period in a row and Acute Care Hospitalization remained unchanged.  The nine measures used to calculate the star ratings are identified with an asterisk on Fazzi’s Home Health Compare Charts.  The Quality of Patient Care Star Ratings show 22% of agencies receiving 3 and 3.5 stars.

For HHCAHPS averages, the national score in Specific care issues decreased.  The remaining measures are unchanged. The data collection period for these measures is from October 1, 2014 to September 30, 2015.

Check your Patient Survey Star Ratings.  If your star rating decreased, contact our Gina Mazza, our HHCAHPS Survey Director for improvement tips.

Visit our Home Health Compare page with drop downs to compare by state, by year, and by release date.  You can also select comparisons for the top 10 percent or top 20 percent.  We also provide a drop down to agency level for Star Ratings.

Improve Your Star Rating with our New Coding Feature!

Our job is to empower your agency to become Invincible, and we are constantly enhancing our services to help you do just that.

We’re pleased to tell you about a vital addition to our coding review process – the integration of STAR items into our coding review.  The feedback you receive for each patient is easy to use and highlights those M-items that impact the Quality of Patient Care Star Rating, and ultimately, reimbursement. This will allow your agency to know how and where you can improve your STAR rating, and protect your revenue.

If you’re currently a coding customer (thank you!), a member of our team will contact you soon to explain the details of this important enhancement.

If you’re not a current coding customer, this is one more reason to consider Outsourced Coding from Fazzi Associates!  And here are just a few more…

  • You’ll love our fast turnaround time and 24/7/365 coverage!
  • You’ll rest easy knowing you can count on a manager, coordinator and team of coders assigned to your agency!
  • Less work for you!  We use your EMR with a HIPAA-compliant connection and enter codes directly into your system.

Questions?  We love questions. Contact us today.

Home Health Medicare Margin

Home Health Margins and Volume Quintile
Quintile 2012 2013 2014 2015
First (Smallest) 7.1 6.1 4.0 7.4
Second 8.1 7.8 5.4 9.6
Third 10.1 8.9 7.6 12.4
Fourth 13.2 11.2 10.0 13.8
Fifth (Largest) 16.8 14.8 12.5 17.6
Sources: MedPAC Report to the Congress: Medicare Payment Policy, March 2014, 2016, and 2017, and MedPAC June 2014 and June 2015 Data Book.
Medicare Margin 2015
All Freestanding HHAs 15.6%
Majority urban 16.0%
Majority rural 13.2%
For profit 16.7%
Nonprofit 12.1%
Freestanding home health agencies had an aggregate margin of 15.6 percent in 2015. MedPAC estimates the marginal profit of HHAs to be 18.1 percent in 2015, higher than the overall Medicare margin.Sources: MedPAC Report to the Congress: Medicare Payment Policy, March 2014, 2016, and 2017 and MedPAC June 2014 and June 2015 Data Book.

Home Health Service Use

Home Health Service Use
Measure 2006 2014 2015
Home Heath users (millions) 3.0 3.4 3.5
Episodes (millions) 5.5 6.6 6.6
Per Home Health user 1.8 1.9 1.9
Payments (billions) $14.0 $17.7 $18.1
Per Home Health user $4,606 $5,156 $5,225

The average episode per home health user has decreased from 2.0 in 2010 to 1.9 in 2015. Payment per home health user decreased in the same period from $5,679 to $5,225. Source: MedPAC March 2015, 2016, and 2017; MedPAC December 2015 meeting presentation: Assessing payment adequacy and updating payments: home health care services.

Home Health Compare Charts Updated

The Home Health Compare results were updated January 28, 2016.

  • This release includes the first reported Home Health Patient Experience of Care Star Ratings. The HHCAHPS Patient Survey Star Ratings reports patients’ experiences of care ranging from one to five stars. CMS reports approximately 6,000 agencies with patient care experience star ratings in this release. Four HHCAHPS measures can receive a star rating plus there is a summary star rating that reflects the average of the composite stars and global star.
    •  3 composites measures: care of patients, communication between providers and patients, and specific care issues
    • 1 global item: Overall rating of care provided by the HHA
    • 1 Survey Summary Star Rating

CMS has adjusted the Patient Survey Star Ratings results for patient mix. The adjusted results are publicly reported.

Continue reading “Home Health Compare Charts Updated”

Fazzi’s Value-Based Accelerator Program launched at NAHC

Fazzi Associates’ value-based accelerator program was launched at NAHC. Read more about value-based purchasing.

Home Health Visits per Episode

Type of Visit Visits per Episode (2015)
Skilled Nursing 9.6
Therapy 7.1
Home Health Aide 2.0
Medical Social Services 0.1
Source: MedPAC Report to the Congress: Medicare Payment Policy, March 2017.