Written By Mike Dordick, President, McBee

As we step into a new year, the home health and hospice industries face a landscape marked by both challenges and opportunities. In a recent webinar with Netsmart, National Association for Home Care and Hospice (NAHC) President Bill Dombi shared his insightful outlook for 2024. From market dynamics to regulatory shifts and legislative endeavors, Dombi underscores the strategic imperatives and collaborative efforts needed to navigate these complexities effectively. 

Key topics covered during the webinar include: 

  • Challenges and Closures in Home Health Agencies: Market consolidation, payment challenges and regulatory pressures continue to shape the industry, impacting agencies of all sizes. 
  • Congressional Support and Legal Action: Seeking congressional backing to mitigate payment rate adjustments and pursuing legal recourse to address concerns. 
  • Hospice: Program Integrity and Regulatory Changes: Intensive oversight on operations and quality, coupled with regulatory changes, are reshaping the hospice landscape. 
  • Medicaid Home and Community Based Services (HCBS): Policy Changes and Challenges: Proposed policy changes confront the significant challenges in Medicaid HCBS, balancing worker compensation with state payment rates. 
  • Personal Care Services: Workforce Challenges and Regulatory Focus: Workforce shortages and regulatory compliance in personal care services prompt state-level considerations and federal labor audits. 
  • Medicare Advantage: Enrollment Surge and Oversight: Increased enrollment prompts heightened oversight, emphasizing transparency and addressing prior authorization hurdles. 
  • Innovations and Legislative Initiatives: From the Choose Home legislation to the Hospital at Home demonstration program, innovative initiatives reshape care delivery models. 

As home health and hospice leaders chart their course through 2024, collaboration, innovation and advocacy remain pivotal in addressing the evolving needs of patients and providers alike. 

For a detailed exploration of these insights, read the full blog on NTST.com. 

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