No doubt, your business is implementing changes to remain compliant with CMS’s 2025 updates to the Home Health Value-based Purchasing (VBP) model. But when it comes to making your revenue more predictable operating under this model, did you know there are more levers you can pull? Forcura teamed up with the experts at HealthRev Partners for strategies that make your revenue more resilient by focusing specifically on your payers and technology.
The goal:
Put simply, your post-acute agency must diversify payer sources and optimize your payer relationships to succeed in the VBP model.
Why it matters:
- Reduces financial risk.
- Enhances care quality.
- Ensures steady revenue streams.
Key strategies:
- Expand payer sources: You wouldn’t invest in a single stock for your retirement, so why risk your company’s revenue by relying on a single payer? Your business should tap into multiple insurance companies, Medicare, Medicaid, and private pay patients to diversify your revenue streams.
- Diversify services: If you have the clinical capacity or expertise, consider offering chronic disease programs, transitional care, or Medicaid Home and Community-Based Services (HCBS) to reach broader patient bases. These various patient populations are commonly aligned to different payer sources.
- Strengthen payer relationships: Use seamless referral management tools like Forcura to improve collaboration and onboard patients faster. Starting patient care sooner can reduce rehospitalization risk and provide a better experience for patients and their caregivers. Both are important differentiators for payers.
- Assess payers regularly: Analyze reimbursement rates, claim trends, and service profitability with HealthRev Partners’ revenue cycle expertise.
- Optimize workflows: Whether your intake operations are local or centralized, manage workflows efficiently using Forcura’s cloud-based platform for referrals, insurance, and all associated patient data. Forcura Analytics, including the Referral Life Cycle report, will empower your teams to identify and resolve bottlenecks across your entire referral workflow.
- Leverage AI for prioritization: Use Forcura’s Generative AI-powered tools to sort referrals, identify those patients who best fit your clinical expertise and business requirements, and make better business decisions from the very start of intake.
The bottom line:
Making your revenue more predictable and finding success under VBP requires adaptability. By leveraging technology and strategic partnerships with Forcura and HealthRev Partners, agencies can boost efficiency, secure steady cash flow, and deliver top-tier patient care.
Don't miss Part 1 in our Predictable Revenue blog series.
