According to a new analysis by ATI Advisory, patients discharged from hospitals are increasingly heading to home care facilities.
In May 2019, 11% of the 801,464 patients discharged from the Short-Term Emergency Hospital (STACH) were sent to a home care facility. Of the 558,296 patients discharged from STACH in May 2020, 19% went to a home care facility.
The analysis considered Medicare service billing data that occurred from January to May and was paid through June.
At a basic level, these latest figures support the role played by home care providers during the COVID-19 pandemic. They also support comments from several home health care executives who said their referral partners turned to home care more easily than before.
According to Anne Tumlinson, founder and CEO of ATI Advisory, it is unclear whether the transition to home care will continue.
“We still don’t know how persistent this disruption of discharge patterns after acute treatment is,” Tumlinson emailed Home Health News. “If it is maintained, the pandemic will be mitigated, and if the number of hospitals returns, it will be a plus for home health care, even if the exemption is gone. In other words, they keep the size of the pie slices and The bigger the pie, the better for the industry as a whole. “
Of the 104,886 patients diagnosed with COVID-19 who were discharged from STACH from January to May 2020, 8% went to a home care facility. In comparison, 25% went to a skilled nursing facility (SNF) and another 29% were discharged directly to their homes without service.
According to ATI Advisory Analysis, 17% of the 3.21 million STACH emissions from January to May 2020 were for home health care.
“We were very fortunate to have the Patient-Driven Payment Model (PDPM) and the Patient-Driven Grouping Model (PDGM) introduced, because they probably provide appropriate reimbursement for a more complex patient population overall. Because it makes it possible, “Tamlinson said.
ATI advisory analysis is also noteworthy in terms of SNF conversion.
For example, in May 2019, SNF accepted 19% of all patients. However, in May 2020, SNF received only 15%.
Since the beginning of the COVID-19 pandemic, government agencies have been bullish on the conversion of SNFs to homes. Still, SNF hopes that if the pandemic is mitigated, the SNF-to-home trend will subside.
While these trends may seem good to home care providers, they do not necessarily indicate the status quo.
In addition, this analysis only considers Part A reimbursement for home care providers. The data does not consider community approval.
“We’re careful with this analysis, saying it’s the billing data for the first three months of the pandemic,” ATI Advisory analyst Elizabeth Burke told HHCN by email. “As the next few quarters come, we’ll be able to better understand what this means by looking at the data over time.”
New data confirms that more patients are being discharged to home care facilities
Source link New data confirms that more patients are being discharged to home care facilities