Patients are coming home from the hospital sooner, sicker, and with more complex needs than ever before. For home health agencies, that shift is changing everything from clinical workflows and documentation to staffing, caregiver support, and revenue cycle performance.

In this episode of Home Health Revealed, Hannah Vale sits down with Rachel Trombly, Director of Clinical Services at Mosai, to discuss what higher-acuity care really means for today's home health providers. Together, they explore how agencies can move from reactive to proactive care through stronger risk stratification, better care coordination, more meaningful documentation, and empowered caregivers.

Tune in to learn:

• Why patient acuity is increasing—and what it means for your agency

• How documentation can better capture patient complexity

• The critical role caregivers play in preventing rehospitalizations

• Why risk stratification is becoming essential for operational success

• How agency leaders can better support clinicians while improving quality and financial performance

Whether you're a clinician, operational leader, or revenue cycle professional, this conversation offers practical strategies to help your agency adapt to the new reality of higher-acuity home health.

Access Rachel's recently published a blog, "Why Risk Stratification Is Becoming Essential Amid Staffing Shortages in Home-Based Care" which expands on many of the themes discussed in the interview: www.mosai.com/blog/why-risk-stratification-is-becoming-essential-amid-staffing-shortages-in-home-based-care

Chapters

• (00:00:03) - Home Health Revealed: The Shift towards higher-acuity patients
• (00:01:39) - Interviews with Home Health Agency Executives
• (00:02:50) - Home Health Care: Higher Acuity in the Home
• (00:04:39) - Home Health Care: Complex Care Needs
• (00:08:12) - OASIS 12, Documentation
• (00:10:56) - What are the biggest gaps or risks when agencies are managing higher ac
• (00:13:27) - The Plan of Care for High-Acuity Patients
• (00:15:59) - Caregiver-centered care
• (00:22:35) - What are the biggest drivers of home health hospitalizations?
• (00:25:53) - Capacity planning for complex patients
• (00:30:11) - How to better support complex cardiac patients?
• (00:37:36) - What's the One Thing Home Health Companies Need to Do to Man
• (00:39:53) - Interviews with Mosay On Home Based Care