Home Care Providers Need to Leverage Data in Value-Based Care Relationships

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Almost all home care providers are trying to move towards value- and risk-based care, either because they want to or because they have to.

For the home healthcare industry to move towards risk, it will need the right collective data to put on the table. And for individual vendors to scale to value, they will need the internal data to do so.

“A lot of what we do is look back so we can look forward, because we can’t really move forward until we know exactly what we’re dealing with,” said Jennifer Schiller, executive director of the Research Institute for Home Care said at Home Health Care News’ VALUE event last week. “I don’t think it will surprise anyone that there is a lack of data. But there is.”

The mission of Schiller’s organization – formerly the Alliance for Home Health Quality and Innovation (AHHQI) – is to increase production in order to give home care a source of research and information authoritative and autonomous.

As part of this mission, Schiller is passionate about the need for more information in the home care space through research and partnerships.

“What we’re really focused on is trying to get that data, trying to get that data out there, and trying to make that data available,” Schiller said. “It’s really fundamental to not just work with other provider settings and other payers, but with policymakers, regulators, etc., in order to move forward.”

Schiller also said more transparency is needed from the US Centers for Medicare & Medicaid Services (CMS) to ensure more data is made public.

One of the annual reports published by the Home Care Research Institute is the Home Health Chartbook, which provides information on home care users, industry trends and performance, among other insights. mark.

And it’s important that providers use these available resources and referrals, especially given the paucity of available data, according to Paul Pino, co-founder and director of integrated home care services development and analytics (IHCS ).

“You have people like Jennifer [Schiller] who are constantly posting references, and if something seems to be completely wrong, chances are it’s completely wrong,” Pino told VALUE. “The truth is that the health plan data is terrible. It’s horrible. And unless you have the ability to synthesize it, really sift through it, compare the information, and understand what it’s telling you, you’re going to have a hard time.

Florida-based IHCS is both a home care provider and payer, managing more than 2.2 million lives in total.

Home care providers should also use underwriting consultants where possible to ensure the information received is validated, Pino said.

Actual value in HHVBP

Despite the looming complications, Schiller believes the home health value-based purchasing model (HHVBP) can bring real value to the industry.

“There’s actually real value in value-based purchases,” Schiller said. “[In the nine-state pilot program], we have seen things like IDI visits with and without hospitalization decrease or improve. We’ve also seen some patient experience metrics improve, so there’s value in value-based purchases. He is not just there to complicate everyone’s life. I think it showed real opportunities.

As long as people in industry support the kind of work that research institutes and other advocacy organizations are doing, Pino said data and information will continue to accumulate, slowly but surely.

“I think reimbursement in the home care space is going to improve,” Pino said. “As long as people love [The Research Institute for Home Care] to have people like us supporting his work and coming together to really discuss our findings and share our information.

Jumping on it now, Schiller argued, will pay dividends for the industry — and individual vendors — down the road.

“[Value based purchasing] is here to stay,” Schiller said. “I don’t think it’s a surprise to anyone, and I think research and data are going to be really key, because it’s not just about being reactive, it’s about being proactive.”

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