[4006] Improve 2026 Fiscal Margins through Improved Clinical Outcomes
Provides a pathway to develop
Clinical programming that produces Improved Fiscal Margins.
Presentation Info:
- TAHC&H Event | Winter Conference | Rich-Media Presentation Capture | Online On-Demand Access
- Presentation Date: February 18 , 2025
Program Description:
Home Health reforms continue in terms of programming and reimbursement changes as outlined in the 2026 Final Rule.
Providers seeking success will face new challenges when addressing HHCAHPS and VBP changes, with cuts in reimbursement occurring simultaneously.
The result is a Home Health landscape considerably different from what most of us have worked under during the PPS and early PDGM era.
When traditional operations and programming approaches fail to deliver desired outcomes under PDGM and in areas such as VBP and HHCAHPS,
many Providers find themselves behind the eight-ball in terms of episodic margins. But the Volume-2-Value (V2V) element of PDGM combines with
the Pay-for-Performance (P4P) identity of VBP to outline a clinical path to address Home Health Fiscal margins.
By addressing clinical programming for optimal Outcomes, HH agencies can develop Value-Era efficiencies that result in significant
improvements in Fiscal margins. This progressive presentation includes Case Studies that drill down on the pathway to develop
Clinical programming that produces Improved Fiscal Margins.
HCSSA Topic(s) Addressed:
- §558.259[c][2]information on the state and federal laws applicable to an agency
- §558.259[d][4] agency responsibilities
- §558.260[a][3] basic principles of management in a licensed health-related setting
- §558.260[a][5]quality improvement
- §558.260[a][7]financial management
Education-Training Credits:
- TX HCSSA Administrator/Alternate Continuing Education
- Continuing Education for Nurses
- 1.25 Contact Hr(s)
- This program awards CNE until 02.18.2028
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association,
an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. LSNA Provider No. 4002151
Requirements for Successful Completion:
To receive continuing education credits for this online presentation, the participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias:
Bias, as defined by the American Nurses Credentialing Center's Commission on Accreditation (ANCC COA/LSNA) is the tendency or inclination to cause partiality, favoritism, or influence.
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants
may use their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities,
especially in the presence of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their ANCC Accreditation Feedback Line to report any noted
bias or conflict of interest in the education activity.
The toll-free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s):
Kimberly McCormick, Executive Clinical Director, Home Health Strategic Management
About the Presenter(s): Kimberly McCormick
Kimberly McCormick, RN/BSN, a highly accomplished clinical consultant in the Home Health industry,
is Executive Clinical Director for Home Health Strategic Management. Her 28 years’ experience in Home Health,
8 spent as Administrator of a Home Health Agency, has given her the experience and the knowledge to provide
unrivaled insight into the home care arena. Kimberly has established herself as a national expert in the area of
Utilization Management and Operation Excellence in Home Health services. During her time as Administrator, she
achieved deficiency-free surveys by The Joint Commission, deficiency-free Department of Health & CMS surveys,
and a 0.42% error rate on an ADR audit. Kimberly is a contributing author on the HHSM newsletter and is presenting
nationally on home care topics and care models proposed by CMS and MedPac for the future of the Home Health industry.
[4006] Improve 2026 Fiscal Margins through Improved Clinical Outcomes
