Trying reimbursement times are leading to expansion for some and contraction for others.
Gentiva Health Services Inc. will undergo another wave of closures. The Atlanta-based behemoth plans to shut down 46 of its home health locations across the country, laying off hundreds of clinicians and staff, it says in a recent 8K filing.
The downsizing comes as Gentiva struggles with poor financial health, notes the Atlanta Busi-ness Chronicle. The company lost $197 million in the first nine months of 2013. Gentiva already closed or consolidated 53 underperforming locations in late 2011 (see Eli’s HCW, Vol. XXI, No. 6).
"If the four year reduction of reimbursement rates expected under CMS ‘rebasing’ continues across the industry, seniors will lose access to home healthcare — and costs will go up because seniors will have to resort to more expensive care options such as Emergency Rooms and hospital stays," a Gentiva spokesperson says. "We need to save home health by seeking Administrative relief from the significant rate reductions under rebasing."
On the other hand: Chain LHC Group Inc. has acquired two HHAs, the publicly traded company says in a release. The acquisitions are in Tompkinsville, Ky., with a service area covering three counties in the certificate of need state and Valley, Ala., with a service area covering three counties in the CON state. The latter will become part of the East Alabama Medical Center joint venture with LHC, the Lafayette, La.-based company says.
LHC also plans to buy a New Orleans-based hospice provider. The pending acquisition covers nine parishes in Louisiana, which has a Facility Need Review for new hospice providers similar to a CON, LHC says. The three acquisitions combined have about $1.5 million in annual revenue.
"These acquisitions fit perfectly into our strategy for finding small underdeveloped providers located in CON states that increase our service area," LHC CEO Keith Myers says in the release. "We look forward to continuing with this strategy throughout 2014."