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Weathering the storm: a home health care survival story


Weathering the storm: a home health care survival story - Women in Business - Rhonda Billoups, Margie Jenkins, SKILLS Home Health Care.

The early '90s were heady days for the home health care industry says Rhonda Billoups, CEO of SKILLS Home Health Care in Baton Rouge.That's because the fee-for-service reimbursement system that existed then was a gravy train, says Bifloups, who founded the company with CFO Margie Jenkins in 1993.Home care firms such as SKILLS hire nurses, nursing assistants and therapists to provide temporary home medical care to the elderly, disabled and infirm.

While a small percentage of clients were covered by Medicaid or private insurance, most were covered by Medicare, the federal health insurance program for the elderly and disabled.Fee-for-service meant that Medicare reimbursed for every visit a therapist, nurse or aide made to a client's home.

The federal money spigot attracted a lot of players to the industry, making for a crowded market.At the same time, enough firms exploited the system's flaws to enrich themselves that Medicare was forced to scrap the fee-for-service model."There was really no limit on how many times someone could see a patient," Billoups says. "Then they (the government) found out the system was being really abused."


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