Monthly HHFMA Call With The Experts December 19, 2018 Cost Per Visit

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Presentation transcript:

Monthly HHFMA Call With The Experts December 19, 2018 Cost Per Visit Presenter: Thomas Boyd, MBA, CFE, CHFP VP of Reimbursable Services

Cost Report Data Reports NAHC Data Compendium Cost Report Data Reports The NAHC COST REPORT DATA COMPENDIUM is an in-depth analysis of Medicare cost reports filed by home health agencies since the beginning of the HH PPS payment system in October 2000. NAHC has acquired nearly 150,000 filed cost reports to develop this Compendium. The Compendium is a valuable tool for providers of services, consultants, health policy planners, home care advocates, investors, and trade associations looking to gain an understanding of the financial status of home health agencies. However, it must be understood this tool is not intended to be used to affect the planning and delivery of care to individual patients. It must be further understood that while the methodology used by NAHC to conduct this analysis has been validated the cost report data used is unaudited. http://hhfma.org/memberresources/

Total Cost Per Visit National SN PT OT ST MSW HHA 2017 $182.84 $174.91 $174.10 $190.88 $259.70 $81.52 National SN PT OT ST MSW HHA 2016 $154.84 $181.59 $179.88 $192.99 $236.66 $70.10

Total Cost Per Visit Free - Standing SN PT OT ST MSW HHA 2017 $155.09 $168.57 $166.08 $183.32 $230.38 $71.84 Free - Standing SN PT OT ST MSW HHA 2016 $146.12 $180.31 $178.02 $191.08 $226.43 $66.73

Total Cost Per Visit Hospital Based SN PT OT ST MSW HHA 2017 $250.67 $190.74 $195.72 $212.48 $356.63 $106.43 Hospital Based SN PT OT ST MSW HHA 2016 $239.62 $194.59 $200.30 $213.23 $363.63 $103.34

Total Cost Per Visit Rural SN PT OT ST MSW HHA 2017 $200.66 $168.75 $166.91 $175.11 $269.77 $88.93 Rural SN PT OT ST MSW HHA 2016 $169.66 $159.23 $162.75 $181.07 $253.43 $71.91

Total Cost Per Visit Urban SN PT OT ST MSW HHA 2017 $172.33 $178.49 $177.91 $198.35 $256.85 $77.32 Urban SN PT OT ST MSW HHA 2016 $151.87 $185.98 $183.00 $195.21 $234.55 $69.72

2016 vs. 2017 Profit (Loss) National Greater than 50 % 25 % - 50 % 10 % - 25 % 0 % - 10 % Loss 2017 3.3 % 34.40 % 19.0 % 15.2 % 28.20 % National Greater than 50 % 25 % - 50 % 10 % - 25 % 0 % - 10 % Loss 2016 3.4 % 34.20 % 19.3 % 16.0 % 27.10 %

HHFMA Benchmark of the Month Hospital Discharge Trends to Post Acute December 19, 2018 Matthew Garcia Solutions Engineer and Channel Partner Manager.

Data Source: 2017 Annual Industry Trend Report The Excel Health Annual Industry Trend Report highlights the most recent trends and provides a full year (2017) synopsis of the home health and hospice markets. Medicare and Hospice data is reported through Q4 2017. For home health, we report through Q3 2017. While we present Q4 2017 in the Excel Health Market Intelligence Portal.

Benchmark – Discharge Trends Benchmark through Q4-2017: Almost half (48.5%) of patients who were discharged from a hospital stay did not receive post-acute care instructions in 2017 As of the latest Industry Trend Report (Q2-2018), approximately half of Medicare patients discharged from a hospital do not receive any post-acute instruction or referral. Consistent data that may highlight habitual behavior of the hospital discharge planners Hospital Discharges to SNF = 22% Hospital Discharges to HH = 20%

Benchmark Application Significant Diversity among states Those patients discharged in the northeastern states of CT, MA, RI, NH, and VT are more likely to be discharged with post-acute follow up instructions Patients in the western states of OR, HI, WY, MT, and AK were less likely to receive post-acute discharge instructions. Discharges to hospice, inpatient-rehab, and LTC hospitals only account for 10% of all hospital discharges

Hospital Discharge Trends Top 5 Discharge Destinations Bottom 5 Discharge Destinations

What this means and Improvement With almost half of hospital discharges receiving no post-acute care agencies see less patient revenue With less patients discharged into home care a gap would exist in the healthcare continuum Readmissions are higher for those patients who do not obtain home health care Data to share with hospital discharge planners to make a case for home health care