INSIGHT

Q1-2019 Home Health & Hospice Update

Home health agencies and investors have started to prepare for the upcoming changes to come with the implementation of the new Patient-Driven Groupings Model (PDGM). With the number of claims and the Risk Adjusted Processing Systems submissions nearly doubling, additional back office infrastructure will be required to process claims and adapt to the new model. Provident expects continued M&A opportunities will arise from smaller agencies not having the operational capacity or resources to adjust to the new PDGM payment framework. Furthermore, larger providers such as Addus, Elara Caring, Humana, and LHC Group will continue to utilize their infrastructure to drive further consolidation in the industry.

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Sources: SEC Filings; Company Press Releases, and Reports; IBISWorld; Capital IQ; PHP Estimates and Research. This document has been compiled with publicly available information. Provident Healthcare Partners, LLC makes no guarantee of its accuracy or completeness. No data or statement should be construed to be a recommendation for the purchase, sale, or retention of any security.
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