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

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 | | | | 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 Source: 2016 Medicare home health claims analysis per Federal Register dated July 28, 2017 2 1

April 18, 2018 60-Day episodes 30-Day periods of care 5.1 million 8.6 million 30 days or less 30 days or less 23% 14% 1.2 million episodes 1.2 million periods 31 days or more 31 days or more 77% 90% 3.9 million episodes 7.8 million periods No visit & Low Utilization Source: 2016 Medicare home health Payment Adjustment (LUPA) (4%) claims analysis per Federal Register periods excluded dated July 28, 2017 0.4 million periods, removed 3 Average Visits Per 30-Day Periods of Care 12.0 10.0 8.0 6.0 4.0 2.0 - SN PT OT ST MSW HHA Total Source: 2016 Medicare home health claims analysis per Federal Register dated July 28, 2017 4 2

April 18, 2018 Average Visits Per 30-Day Periods of Care Days 1-30 Days 31-60 12.0 12.0 10.0 67% of resources 10.0 33% of resources 8.0 8.0 6.0 6.0 4.0 4.0 2.0 2.0 - - SN PT OT ST MSW HHA Total SN PT OT ST MSW HHA Total Source: 2016 Medicare home health claims analysis per Federal Register dated July 28, 2017 5 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 Source: First two quarters of 2017 paid Medicare home health claims, excluding LUPA episodes, analyzed by BKD, LLP 6 3

April 18, 2018 60-Day episodes 30-Day periods of care 2.7 million 4.7 million 30 days or less 30 days or less 22% 12% 0.6 million episodes 0.6 million periods 31 days or more 31 days or more 78% 89% 2.1 million episodes 4.2 million periods Source: First two quarters of 2017 paid No visit periods excluded Medicare home health claims, excluding (1%) 57,000 periods, removed LUPA episodes, analyzed by BKD, LLP 7 Average Visits Per 30-Day Average Visits Per 30-Day Periods of Care, All Periods Periods of Care, 30-Days or Less 12.0 12.0 10.0 10.0 8.0 8.0 6.0 6.0 4.0 4.0 2.0 2.0 - - SN PT OT ST MSW HHA Total SN PT OT ST MSW HHA Total Source: First two quarters of 2017 paid Medicare home health claims, excluding LUPA episodes, analyzed by BKD, LLP 8 4

April 18, 2018 Average Visits Per 30-Day Periods of Care, 31-Days or More Days 1-30 Days 31-60 12.0 12.0 10.0 61% of resources 10.0 39% of resources 8.0 8.0 6.0 6.0 4.0 4.0 2.0 2.0 - - SN PT OT ST MSW HHA Total SN PT OT ST MSW HHA Total Source: First two quarters of 2017 paid Medicare home health claims, excluding LUPA episodes, analyzed by BKD, LLP 9 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? 10 5