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Dr. Nitesh Kumar, MD, MBA

Curated & reviewed by Dr. Nitesh Kumar, MD, MBA, ACHE, CBIS

Founder & Editor-in-Chief · NewsHX

Home Health & Hospice

Home-Based Care & End-of-Life

CMS PDGM and HHVBP policy, hospital-at-home models, RPM coverage, hospice benefit updates, and workforce news for home health agencies, PACE programs, and hospice providers.

PDGMHHVBPHospiceHospital at HomePACEOASISRPMPalliative

~11,000

Home Health Agencies

CMS certified, 2023

~6M

Medicare Episodes/Year

MedPAC 2023

$22B+

Medicare HH Spend

Annual, MedPAC 2023

1.8M+

Hospice Enrollees/Year

NHPCO 2022

Coverage Areas

Home Health & Hospice Topics

Clinical, regulatory, and operational coverage for home health agencies, hospice programs, hospital-at-home initiatives, and PACE organizations.

HHVBP & PDGM

CMS Home Health Value-Based Purchasing and Patient-Driven Groupings Model — the two pillars of modern home health payment reform.

HHVBP — National Expansion & Scoring

HHVBPValue-BasedCMS

PDGM — Groupings, LUPAs & Adjustments

PDGMReimbursementOASIS

Annual Home Health Prospective Payment Rule

RatesCMSRegulation

OASIS-E Data Collection & Coding

OASISAssessmentCompliance
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Hospital at Home & PACE

Acute care delivered in the home setting and fully integrated Programs of All-Inclusive Care for the Elderly — the frontier of home-based care.

CMS Acute Hospital Care at Home Waiver

AcuteHomeCMS Waiver

PACE — Program of All-Inclusive Care

PACEDual EligibleCapitated

Home-Based Primary Care (HBPC)

Primary CareHomeboundVA/CMS

Transitional Care & Step-Down Models

TransitionSNFContinuum
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RPM & Telehealth at Home

Remote patient monitoring devices, virtual care platforms, and connected health tools reshaping how clinicians oversee homebound patients.

RPM Reimbursement & CPT Coverage

RPMCPTReimbursement

Wearables & Biometric Monitoring

DevicesWearableSensor

Telehealth in Home Health Settings

TelehealthVirtualRegulation

Digital Therapeutics & Patient Engagement

DTxEngagementApp
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Hospice & Palliative Care

Medicare hospice benefit policy, HOPE assessment tool, concurrent care models, and the palliative care continuum in home and community settings.

Medicare Hospice Benefit & Carve-Outs

HospiceMedicareBenefit

HOPE — Hospice Outcomes & Patient Evaluation

HOPEQualityOASIS-like

Palliative Care in Home & Community

PalliativeCommunityHBPC

VBID Hospice Concurrent Care Model

VBIDConcurrentMA
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Workforce & Training

Home health aide competency requirements, workforce pipeline challenges, direct care worker compensation, and immigration policy impacts.

HHA Competency Standards & CMS Requirements

HHATrainingCompetency

Direct Care Worker Wages & Turnover

WagesRetentionWorkforce

Aide-to-Nurse Delegation Models

DelegationQMAPScope

Immigration Policy & Home Care Labor Supply

ImmigrationLaborPolicy
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Quality Measures & Outcomes

HHCAHPS patient experience, star ratings, hospitalization rates, and functional outcome measures that define home health performance.

Home Health Star Ratings & Care Compare

StarsCare CompareQuality

HHCAHPS — Patient Experience Measures

CAHPSExperienceSurvey

Hospitalization & ED Utilization Rates

UtilizationReadmissionOutcomes

Functional Outcome & Improvement Measures

FunctionalOASISImprovement
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Data & Trends

Medicare Home Health Spend

Annual Part A/B — MedPAC ($B)

HHCAHPS Patient Experience

National average scores — CMS 2023 (0–100)

Agency Star Rating Distribution

CMS Care Compare 2024 — ~11,000 agencies

1 Star
6%
2 Stars
11%
3 Stars
24%
4 Stars
32%
5 Stars
27%

Sources: MedPAC March 2024 Report · CMS HHCAHPS National Data (2023) · CMS Care Compare (2024). 2024e = estimate.

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