In the News

Home Health Providers’ Referral Acceptance Rate Has Decreased by 15%

Home Health Care News / By Joyce Famakinwa
Patients being discharged from hospitals and into the post-acute space, including to home health providers, tend to be higher acuity and more complex than in the past.
The findings are part of a new report from CarePort, a WellSky company. The report examines data from over 1,000 hospitals and 130,000 post-acute care providers and focuses on how the COVID-19 emergency has impacted care delivery.
In general, patients discharged to home health providers have more complex conditions than in 2019. As a result, there’s been an 11% increase in average comorbidity score. Some common comorbidities are congestive heart failure, chronic obstructive pulmonary disease, hypertension, neurological disorders and diabetes.
“On average, higher acuity patients have a greater need for services post-discharge, adding increased complexity to getting that patient the care they need,” Dr. Lissy Hu, CEO and founder of CarePort, said in a press statement. “Giving providers the visibility and insight needed to provide the appropriate level of care post-discharge is critical to ensuring the best possible outcome.”
In recent years, some providers have positioned themselves to be able to take on higher acute and more complex patients.
Alivia Care — a provider of home health, hospice and palliative care services that operates across 32 counties in North Florida and Southeast Georgia — is one such company.
“We really wanted to be able to look at specific patient populations and what they needed that was different from the core components of service,” Susan Ponder-Stansel, CEO of Alivia Care, previously told Home Health Care News.
Other larger home health companies have done the same. LHC Group Inc. (Nasdaq: LHCG) has touted its own SNF-at-home capabilities, for instance. Amedisys Inc. (Nasdaq: AMED) acquired Contessa Health, which specifically deals with higher-acuity patients in the home.
Aside from higher acuity patients being discharged to home health, the report also found that staffing shortages have been disruptive to the referral process. Despite a 33% increase in referrals per patient to home health providers, there’s been a 15% decrease in acceptance.

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‘That’s Just Part of Aging’: Long Covid Symptoms Are Often Overlooked in Seniors

Kaiser Health News

Nearly 18 months after getting covid-19 and spending weeks in the hospital, Terry Bell struggles with hanging up his shirts and pants after doing the laundry.

About ‘Navigating Aging’
Navigating Aging focuses on medical issues and advice associated with aging and end-of-life care, helping America’s 45 million seniors and their families navigate the health care system.

To contact Judith Graham with a question or comment, click here.

Lifting his clothes, raising his arms, arranging items in his closet leave Bell short of breath and often trigger severe fatigue. He walks with a cane, only short distances. He’s 50 pounds lighter than when the virus struck.

Bell, 70, is among millions of older adults who have grappled with long covid — a population that has received little attention even though research suggests seniors are more likely to develop the poorly understood condition than younger or middle-aged adults.

Long covid refers to ongoing or new health problems that occur at least four weeks after a covid infection, according to the Centers for Disease Control and Prevention. Much about the condition is baffling: There is no diagnostic test to confirm it, no standard definition of the ailment, and no way to predict who will be affected. Common symptoms, which can last months or years, include fatigue, shortness of breath, an elevated heart rate, muscle and joint pain, sleep disruptions, and problems with attention, concentration, language, and memory — a set of difficulties known as brain fog.

Ongoing inflammation or a dysfunctional immune response may be responsible, along with reservoirs of the virus that remain in the body, small blood clots, or residual damage to the heart, lungs, vascular system, brain, kidneys, or other organs.

Only now is the impact on older adults beginning to be documented. In the largest study of its kind, published recently in the journal BMJ, researchers estimated that 32% of older adults in the U.S. who survived covid infections had symptoms of long covid up to four months after infection — more than double the 14% rate an earlier study found in adults ages 18 to 64. (Other studies suggest symptoms can last much longer, for a year or more.)

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White House Prepares to Ration Vaccines as Covid Funding Impasse Looms

A painful and foreboding reality is setting in for the White House as it enters a potentially dangerous stretch of the Covid fight: It may soon need to run its sprawling pandemic response on a shoestring budget.

Just two months after the administration unveiled a nearly 100-page roadmap out of the crisis, doubts are growing about Congress’ willingness to fund the nation’s fight. It has forced Biden officials to debate deep cuts to their Covid operation and game out ways to keep the federal effort afloat on a month-by-month basis.

Read more @ Politico


U.S. Households Can Order 8 More Free COVID Tests

The Biden administration opened for a third round of COVID-19 tests last Monday, while calling on Congress to pass additional COVID response funding.

The total number of free tests available to each household since the start of the program is 16.


Report: 5 Million to 14 Million Americans Could Lose Medicaid Coverage When COVID-19 Pandemic Ends

Millions of Americans who gained Medicaid health insurance during the COVID-19 pandemic could lose coverage this year or next year when generous federal subsidies end, a new analysis has found.

Kaiser Family Foundation estimates 5 million to 14 million Americans could lose Medicaid when states begin to unwind coverage after the Biden administration declares the COVID-19 public health emergency is over.

The federal government provided billions in federal aid to states on the condition that they would not remove people from Medicaid until the public health emergency ends. The temporary measure to ensure Americans didn't lose coverage during the pandemic has extended more than two years. Kaiser projects sign-ups for full and partial Medicaid coverage will have swollen by 25% to 110 million by September's end.

Read more @ USA Today

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