Dexur studied Medicare Claims data of the McLaren Homecare and Hospice, located in Davison, MI, corresponding to DRG: 871 for the year Q3 2018 to Q3 2019. It was observed that the Revenue per User of the hospice associated with DRG: 871, plunged a massive 59% during the course of the year. While the revenue per user was $3,881 in Q3 2018, by the close of Q3 2019, it had veritably dipped to $1,596. Even the total payments for the hospice had notably dropped, from $155,271 in Q3 2018 to $86,230 in Q3 2019.

Nevertheless, this particular DRG has consistently remained the top-contributing DRG for this facility, despite the downward trend. The condition associated with DRG: 871 is SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC). However, the number of users vis-a-vis DRG: 871 at the McLaren Homecare and Hospice had marginally increased from 40 in Q3 2018 to 54 in Q3 2019.

The other most-contributing DRGs in Q3 2019 were: DRG: 291, which is, HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) and DRG: 280 related to ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC). The former generated a revenue per user of $3,275, and the latter, $2,833. Only in Q3 2018, DRG: 280 was the second most-contributing DRG, following DRG: 871, with a revenue earned per user of $4,905, and total payments amounting to $103,020.

Dexur’s definitive ranking of the hospices, based on case volume for the period Oct 2016 to Sep 2019, posted that McLaren Homecare and Hospice ranked No.1 at the state level, while it featured among the top 50 hospices nationwide. The interdisciplinary team at McLaren Hospice provides a personalized plan of care focused on pain and symptom management while emphasizing quality of life and comfort, support and dignity to those with a life-limiting illness. Focussed on providing holistic treatments, McLaren hospice offers medical care and emotional support to patients and also helps family members manage the practical details and emotional challenges of caring for a loved one nearing their end of life. It serves wherever the patient feels comfortable, whether, in an assisted living facility (ALF), skilled nursing facility (SNF), adult foster care home (AFC), or at the hospital. McLaren Home Care & Hospice is a non-profit, Medicare-certified, Blue Cross-approved, and CHAP-accredited (Community Health Accreditation Program) organization.

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