Expanding Value Based Purchasing In 2022: What Does Over $300 Million More Dollars To Our Industry Look Like?

September 30, 2021
Background Of Home Health Value-Based Purchasing
What Does The  2022 Expansion Look Like For Providers:
  1. Modification of quality measures:  The goal in this is to look at decreasing some of the burden put on providers in the Home Health Quality Reporting Program and focus more on patient outcomes. It does include 2 additional quality measures that deal with promotion of care coordination. Under Executive Order 13985 given on 1/20/2021, the outcome is to better monitor patient outcomes in diverse populations. CMS is looking to focus on health equity in these diverse populations. CMS wants feedback on how to accomplish this through policy changes/ solutions. It is looking at better reporting on dual eligible beneficiaries, disability status, the LGBTQ+ community, religious minorities, and those dealing with ongoing poverty or inequality. 
  2. Routine updates on home health and home infusion payment rates:  CMS looks to adjust PDGM case mix, co-morbidities and functional levels. The one items that looks to remain the same are the LUPA thresholds. There does not appear to be an adjustment from 2021 to 2022 in this category. 
  3. Updates to the Medicare Conditions of Participation:  During the COVID-19 pandemic, CMS issued certain waivers that it is looking to make permanent. The first is the home health aide supervision waiver and the second is the ability for the occupational therapist to continue to complete the initial and comprehensive assessments for patients. 
The ultimate outcome if enacted is an additional $310 million dollars in reimbursement to home health agencies in calendar year 2022. This is the continued shift in healthcare dollars being moved from inpatient care to home and community based services. Should you need assistance in helping your agency become clinically efficient and outcome based while fiscally sound, please call Kenyon Homecare Consulting at 206-721-5091. Whether you call directly or contact us online, we will put you in touch with a senior associate to help you reach your clinical and financial goals. 

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competitive
strategy
By Ginny Kenyon July 4, 2026
In an increasingly competitive healthcare and senior care landscape, providers are constantly searching for ways to differentiate themselves. Families looking for care, and the hospital discharge planners who guide them, are no longer satisfied with generic promises of "quality service" and "compassionate staff." They want proof of specialized capability. One of the most effective yet often overlooked ways to grow in this sector is to provide caregiving staff with thorough training in chronic disease care. In addition to improving patient outcomes and reducing hospital readmissions, this training also serves as a powerful marketing advantage and sales driver. Here is how turning your caregiving team into specialized chronic disease experts transforms your market positioning and accelerates revenue growth. 1. Transforming Specialized Care into a Unique Selling Proposition (USP) Most care agencies and senior living communities market themselves using the same language: "assistance with daily living," "meal preparation," and "medication reminders." When everyone says the same thing, care becomes a commodity, and pricing becomes the only differentiator. By equipping caregivers with advanced training in prevalent chronic conditions—such as Alzheimer’s/dementia, Parkinson’s, Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), and Diabetes—you shift your brand positioning from a general utility to a specialized medical solution . The Marketing Edge: Your marketing materials transition from passive descriptions of tasks to authoritative statements of capability . Instead of advertising "we help with seniors," you can market "specialized, evidence-based care protocols for advanced Parkinson's management." 2. Building High-Value B2B Referral Pipelines The lifeblood of senior care sales is the professional referral pipeline—hospital discharge planners, social workers, physicians, and elder law attorneys. These professionals risk their own reputation when they recommend a care provider. Discharge planners, in particular, are intensely focused on preventing 30-day hospital readmissions , a metric heavily tied to hospital funding and penalties. The Sales Edge: When your sales team meets with a hospital transition manager, they aren't just dropping off brochures and lip balm. They are presenting a clinical solution. The Pitch: "Our staff, nurses, PT, and Home Care Aides undergo a rigorous 8-hour certification program specifically for CHF symptoms, care, and tracking. We actively monitor daily weights and fluid retention to catch exacerbations before they require an ER visit." This level of specificity builds immediate trust, establishing your organization as a preferred partner capable of handling high-acuity, complex cases that other agencies might turn away. 3. Creating Authentic Trust in B2C Digital Marketing When a family member realizes their loved one needs help, their first stop is almost always a search engine. They aren't looking for broad corporate statistics; they are looking for answers to specific, frightening problems (e.g., "How do I stop my dad with dementia from wandering at night?" ). In-depth staff education provides a goldmine of content for inbound marketing strategies: Expert Content Marketing: You can leverage your staff's training to create highly targeted blog posts, downloadable care guides, and educational webinars. Thought Leadership: By hosting free community seminars on managing chronic conditions, you position your brand as the local authority. When families are ready to transition from self-care to professional care, your organization is already their trusted advisor. 4. Shortening the Sales Cycle Through Consultative Selling The consumer sales process in senior care is deeply emotional and fraught with guilt, anxiety, and confusion. Families are often in crisis mode. A standard salesperson who only speaks about room dimensions or hourly rates will struggle to close the deal. When your sales representatives are backed by a highly trained clinical and aide staff, the sales discovery call morphs into a clinical consultation . Traditional Sales Approach: Focuses on features, schedules, and pricing "We can send a caregiver on Tuesdays and Thursdays for four hours to help your mother clean and cook." Consultative, Education-Backed Approach: Focuses on disease progression, symptom management, and quality of life. "Because your mother is dealing with advanced COPD, our caregivers are trained to recognize early signs of respiratory distress, manage energy conservation techniques during bathing, and ensure proper oxygen optimization." The latter approach instantly alleviates family anxiety. It proves that you see their loved one as a person with specific medical needs, not just a line item on a ledger, effectively neutralizing price sensitivity and shortening the time it takes to sign a contract. 5. Maximizing Lifetime Value (LTV) and Word-of-Mouth In senior care, the best marketing is a glowing testimonial from a relieved family. In-depth chronic disease education directly correlates with higher client satisfaction and longer length of stay (or care retention). Preventing Care Burnout: Caregivers who lack training get overwhelmed by the behavioral or physical symptoms of chronic diseases, leading to high staff turnover and disrupted care. Trained caregivers handle difficult symptoms with confidence and skill. The Ripple Effect: Stable, high-quality care leads to happy families. Happy families write powerful 5-star online reviews and passionately recommend your services to friends and neighbors, creating an organic, self-sustaining sales loop. Conclusion: Education as an Investment, Not an Expense In-depth chronic disease education for caregiving staff should never be viewed as a mere regulatory compliance box to check. It is a foundational business strategy. By investing in the clinical intellect of your frontline workforce, you feed your marketing engine with authentic, high-value content, arm your sales team with an undeniable competitive advantage, and build a brand reputation that commands premium pricing. In a crowded market, the most educated care team wins the deepest trust—and ultimately, the client. At Kenyon Homecare Consulting , we focus on high-quality home care, home health, and hospice services. In doing so, we provide in-depth chronic disease education on the conditions that affect our clients population the most. If you are interesting in development of a true competitive advantage, visit Kenyon's Chronic Disease University for your educational needs. Call us at 206-721-5091 or at gkenyon@kenyonhcc.com with any questions.
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By Ginny Kenyon June 6, 2026
In 2026, the management of chronic diseases such as diabetes, hypertension, and heart failure moved away from a reactive "wait-and-see" model to a 24/7 proactive ecosystem. Driven by Artificial Intelligence (AI) and the Internet of Medical Things (IoMT) , technology is no longer just a tool for tracking data—it is a "co-pilot" for both patients and clinicians. By analyzing thousands of data points in real-time, AI can effectively turn the patient's home into a sophisticated clinical hub. 1. Predictive Analytics: Seeing the Crisis Before It Starts The most transformative use of AI in 2026 is its ability to identify subtle patterns that human clinicians might miss. Machine learning models now achieve 93% to 97% accuracy in detecting early signs of health deterioration , such as heart attacks or sepsis, often before symptoms even appear. Early Warning Systems: For patients with heart failure, AI can detect gradual weight gain or changes in respiratory rate that signal fluid buildup. Risk Stratification: Predictive models analyze years of electronic health records (EHRs), genomic data, and lifestyle factors to flag "high-risk" patients months in advance, allowing for preventive interventions that reduce emergency room visits by up to 40% . 2. The Evolution of Remote Patient Monitoring (RPM) RPM in 2026 has moved beyond basic blood pressure cuffs. The integration of AI has created a "continuous monitoring" environment that is non-invasive. Contactless Vitals: Using ordinary cameras and AI-based analysis, systems can now estimate heart rate, respiratory rate, and blood pressure trends without the patient needing to wear a single device. Smart Wearables: Devices like smart rings and biosensor patches continuously track glucose levels, inflammation markers, and heart rate variability . If a threshold is crossed, the AI automatically alerts the medical team or triggers an emergency response . Adherence and Engagement: AI-driven smart dispensers and virtual assistants ensure medication compliance by providing personalized reminders and alerting caregivers if doses are skipped. AI vs. Traditional Chronic Management (2026) Data Collection Traditional Care (Pre-2025): Episodic (at office visits) AI-Enhanced Care (2026): Continuous (24/7 real-time) Diagnosis Traditional Care (Pre-2025): Reactive (responding to symptoms) AI-Enhanced Care (2026): Proactive (predictive patterns) Treatment Traditional Care (Pre-2025): Standardized/Protocol-based AI-Enhanced Care (2026): Hyper-personalized/Precision-based Readmission Risk Traditional Care (Pre-2025): High (post-discharge gaps) AI-Enhanced Care (2026): Reduced by up to 38% 3. Combating Clinician Burnout with "Ambient AI." While patients benefit from better care, healthcare providers are using AI to solve the administrative "paperwork crisis." Ambient Scribing: AI "scribes" now listen to patient encounters and automatically generate clinical notes , reducing the time clinicians spend on documentation and allowing them to focus entirely on the patient. Triage and Workflow: AI systems triage incoming data from thousands of RPM devices, only alerting doctors to the cases that require immediate human attention. This allows small primary care practices to manage larger patient volumes more effectively . 4. Challenges: Ethics and the Digital Divide Despite these advances, the adoption of AI in 2026 faces significant hurdles. Data Privacy: Using synthetic data (artificial datasets that mimic real patient data) is becoming a standard way to train AI while protecting individual privacy. Algorithmic Bias: There is an ongoing effort to ensure that AI models do not widen existing healthcare disparities by being trained on non-representative data. Trust: Clinicians and patients alike must navigate the "black box" of AI, learning to trust recommendations while maintaining human oversight for critical medical decisions. In 2026, technology will have effectively moved chronic disease management out of the clinic and into the "smart home." While the human-doctor relationship remains central, AI provides an invisible safety net that will ensure a minor health fluctuation doesn't turn into a major medical crisis. If you are not educating all your staff, nurses, therapists, and yes, aides as well as using current AI-integrated EMRs, you are already far behind the curve. If you need assistance with education, Kenyon HomeCare Consulting has DSHS-certified, Online Chronic Disease Education . If you need assistance, call 206-721-5091 or email gkenyon@kenyonhcc.com . WE ARE HERE TO HELP!
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