Home Health Care

OCTOBER 13, 2023

It also has to think outside of the box for ways to support the people who need at-home care the most. Headquartered in Nashville, Tennessee, Clover Health is a technology-enabled Medicare Advantage (MA) insurer with its own in-house clinical capabilities. That’s what Clover Health (Nasdaq: CLOV) believes, at least.

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Home Health Care

MARCH 29, 2023

This article is a part of your HHCN+ Membership The Helper Bees (THB) is smack dab in the middle of home care providers and Medicare Advantage (MA) plans. Login The post Why Certain Home Care Providers Are Seeing Success In Medicare Advantage appeared first on Home Health Care News.

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Home Health Care

APRIL 23, 2024

BrightStar Care has built a reputation as one of the home care industry’s innovators. Past examples of the home care franchise company’s pioneering spirit include its investment in small-home senior living residences and its educational partnership with Chamberlain University.

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Home Health Care

JANUARY 19, 2023

Home health providers should keep a close eye on the rise and popularity of managed care plans under Medicare Advantage in 2023. That was one of the many messages from Bill Dombi, president of the National Association for Home Care & Hospice (NAHC), during Wednesday’s webinar with Netsmart.

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Home Care Medicare Regulations 76

Home Health Care

JUNE 9, 2022

Shifting health care payer trends have home-based care providers stuck between two battling business decisions: “adapt or die,” or sustainability. The tense relationship between the home health care industry and MA has been covered extensively on Home Health Care News. To some extent, it still is.

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Home Health Care

NOVEMBER 17, 2022

Whether to engage with Medicare Advantage (MA) plans or not is one of my favorite topics of discussion in home care right now. The MA debate is one we’ve been discussing on Home Health Care News for a long time now. In fact, there is a similar debate going on in the home health care industry simultaneously. .

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Home Care Medicare 78

Home Health Care

APRIL 23, 2024

This article is a part of your HHCN+ Membership On Tuesday, Centers for Medicare & Medicaid Services (CMS) officials vehemently backed the thought process behind the “80-20” wage mandate in home- and community-based services (HCBS). National Association for Home Care & Hospice (NAHC) President William A.

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Home Care Medicaid Law Firms Quality of Care 99

Home Health Care

JANUARY 29, 2024

The company continued to steadily grow as it doubled down on value-based care efforts as a strategic partner in the post-acute space. It was also able to take advantage of the dollars that were being funneled into the in-home care space during the early days of the COVID-19 pandemic. In June 2020, the company landed $135.8

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Home Health Care

MARCH 12, 2024

The pricing increases in home care have again outpaced other long-term care sectors, according to Genworth’s (NYSE: GNW) annual cost of care report. In 2023, the cost of a home care aide increased by 10% to an annual median cost of over $75,000, according to Genworth.

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Home Health Care

NOVEMBER 29, 2021

Home care has become a crucial part of care plans for primary care providers (PCPs), according to a new value-based care report conducted by Humana (NYSE: HUM). The company has its own goal of having half of its Medicare Advantage (MA) members in a value-based home health model by 2027.

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Home Care Medicare Primary Care Urgent Care 106

Home Health Care

APRIL 16, 2024

On the Medicare-certified home health side, there was 33% dropoff in deals. In 2021, there were 86 home health deals, compared to 75 in 2022 and 54 last year. In 2023, there were 7 Medicaid home care transactions, which was the same amount of deals that took place the previous year.

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Home Health Care

APRIL 23, 2022

Compared to fee-for-service Medicare, seniors save close to $2,000 on average in total annual health care spending with Medicare Advantage (MA). That’s according to a new study — based on 2019 Medicare Current Beneficiary Survey data — from Better Medicare Alliance, which features an analysis conducted by the Washington, D.C.-based

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Medicare Home Care Medicaid Integration 88

Home Health Care

OCTOBER 31, 2021

With the rollout of this new platform, the company is positioning itself as a go-between for aging-in-place services providers, such as personal care agencies, and Medicare Advantage (MA) plans. Home care agencies want to access MA plans and long-term care insurance plans.

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Home Health Care

DECEMBER 7, 2023

While home care providers are working to mitigate headwinds – such as the rising cost of delivering care and staffing challenges – they also have their eye on where the industry goes from here. As 2024 approaches, home care leaders are embracing AI, alternative payer sources, employee-centric solutions and much more.

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Home Care Regulations Nursing Prevention 113

Home Health Care

JUNE 9, 2023

This article is a part of your HHCN+ Membership The home care industry, so far, has had a relatively quiet 2023. Over the past few years, the home care space has been defined by ample private equity investment, aggressive provider roll-ups, exciting Medicare Advantage (MA) developments and innovative cross-continuum partnerships.

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Home Health Care

NOVEMBER 10, 2023

Traditional Medicare beneficiaries are finding they have solid access to home health care. Medicare Advantage (MA) members utilizing home health care, on the other hand, are having a much harder time accessing care. The RIHC report is a detailed overview of the home health landscape.

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Home Health Care

FEBRUARY 2, 2024

Coming out of COVID-19, multiple home care franchise systems are really beginning to rev their growth engines again. That will likely be a theme in the broader home care industry this year. One, in particular, is FirstLight Home Care. But we also have to know when to say no.”

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Home Care Medicaid Medicare 88

Home Health Care

DECEMBER 4, 2023

Most Americans will need some sort of in-home care support as they age. To age in place, seniors either need to be completely independent or have some sort of personal care afforded to them. If they qualify for Medicaid, home- and community-based services are an option. The issue is that many of them cannot afford it.

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Home Care Medicaid Nursing Medicare 102

Home Health Care

MARCH 25, 2024

The home care workforce has traditionally been a tough one to organize. Recently, University of Rochester Medicine Home Care (URMHC) workers “overwhelmingly” chose to join a labor union. Home care providers have had greater challenges than we’ve ever seen before.

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Home Care Law Firms Medicaid Medicare 58

Home Health Care

JANUARY 31, 2024

The Medicare enrollment process undergoes annual changes at the Centers for Medicare & Medicaid Services (CMS) to ensure it remains up to date with evolving regulations, policies and health care practices. 1, and several of them will affect home health agencies. A number of changes went into effect on Jan.

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Medicare Regulations Medicaid Home Care 116

Home Health Care

MARCH 28, 2024

Provider leaders see home care union demands as unrealistic. Private-pay home care is the exception, where agencies can pass additional wage costs onto the consumer. Home care unionization efforts ticked up prior to the pandemic, but slowed once COVID-19 began to spread. At least for now. Yes,” he said.

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Home Care Law Firms Medicare Accountability 52

Home Health Care

FEBRUARY 9, 2024

Two senators introduced a bill Thursday that would create a pilot program aimed at expanding the scope of hospital-at-home care in the U.S. Dubbed the At Home Observation and Medical Evaluation (HOME) Services Act, the bill was introduced specifically by Sens. Marco Rubio (R-Fla.) and Tom Carper (D-Del.). As of Feb.

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Home Care Hospitals Medicaid Medicare 89

Home Health Care

FEBRUARY 2, 2023

This article is a part of your HHCN+ Membership Medicare Advantage (MA) only became a real opportunity for home care providers five years ago. Login The post Home Care Providers Are Getting Creative To Reach MA Beneficiaries appeared first on Home Health Care News. per member Already a member?

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Home Care Medicare Medicaid 81

Home Health Care

MARCH 4, 2024

CareScout is trying to make the process of finding quality long-term care – including home care – easier for U.S. NYSE: GNW), CareScout is currently building out its CareScout Quality Network, which is made up of providers that meet its standards for “quality, person-centered care.” seniors and their families.

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Home Care Medicare 83

Home Health Care

JUNE 30, 2023

Centers for Medicare & Medicaid Services (CMS) published a draft of its FY 2024 home health proposed payment rule Friday. For next year, CMS is proposing to decrease aggregate home health payments by 2.2%, or an estimated $375 million less compared to 2023 levels. This is a developing story. The post CMS Proposes 2.2%

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Medicare Medicaid Home Care Prevention 118

Home Health Care

MARCH 15, 2023

Since the Centers for Medicare & Medicaid Services (CMS) began allowing Medicare Advantage (MA) plans to offer supplemental benefits, those benefits’ popularity has skyrocketed. Their existence alone has changed how home care providers interact with MA plans. But, some providers were wary of wading into MA waters.

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Home Care Medicare Medicaid 77

Home Health Care

SEPTEMBER 10, 2022

Home health stakeholders – and many others – recently had the opportunity to weigh in on the way Medicare Advantage (MA) is currently administered by the U.S. Centers for Medicare & Medicaid Services (CMS). In fact, Medicare Advantage has 28.4 million beneficiaries, or 45% of the Medicare population.

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Medicare Home Care Medicaid 113

Home Health Care

FEBRUARY 23, 2024

Sampson noted that receiving clarity from the Centers for Medicare & Medicaid Services (CMS) regarding the 80/20 rule would also strengthen these tailwinds. This includes fostering member engagement through our innovative care center and virtual front door services and devices,” Sampson said.

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Home Care Medicaid Medicare Integration 95

Home Health Care

FEBRUARY 14, 2024

Medicare Advantage (MA) supplemental benefits have expanded and evolved over the last five or six years, but there’s a need to concretely prove their value. One way to do so would be by mirroring the regulatory model state Medicaid programs use for home- and community-based services.

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Home Care Medicaid Regulations Medicare 62

Home Health Care

FEBRUARY 16, 2024

Empirical evidence suggests that hospital-at-home care is safe and effective. Anecdotal evidence suggests that the model is still not nearly as widespread as it should be, however, with patients regularly asking their health care providers about the option. Medical care in the home is inherently a team sport,” Shulman said. “In

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Home Care Hospitals Regulations Medicaid 94

Home Health Care

MARCH 23, 2023

This article is a part of your HHCN+ Membership Home care providers have complained about Medicare Advantage (MA) becoming a more mainstream payer source. Centers for Medicare & Medicaid Services (CMS) is attempting to cut plans’ payment rate by 2.27%. Specifically, the U.S. billion in overpayments to start.

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Home Care Medicare Medicaid 73

Home Health Care

MARCH 6, 2024

In 2023, Medicare Advantage (MA) plan members represented more than half of all Medicare beneficiaries for the first time. In 2024, while penetration continues, there are other trends within MA that home-based care providers should be paying attention to. UnitedHealth Group is directly involved in home health care.

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Medicare Home Care Regulations Medicaid 52

Home Health Care

NOVEMBER 7, 2023

Centers for Medicare & Medicaid Services (CMS) has stated its objective to enroll all of its Medicare beneficiaries in accountable care relationships by 2030. million Medicare fee-for-service beneficiaries are assigned to an ACO. Currently, roughly 13.2 We’d like to try it that way.’ We have these conversations.”

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Medicare Accountable Care Home Care Accountability 88

Home Health Care

APRIL 27, 2023

About a dozen years ago when Will Putman took over the business development side of Continuous Home Care, his dad — the co-founder of the company — had an unofficial benchmark nicknamed “blackjack.” Continuous Home Care is a Pennsylvania-based home health provider with about 350 employees.

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Home Care Physical Therapy Medicare Accountable Care 74

Home Health Care

FEBRUARY 23, 2022

Policy and regulations for home care haven’t kept pace with the growing demand for services and the overall increased visibility of the sector. that point to the increasing need for more senior care services. This has implications for the safety of home care clients as well.”.

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Home Care Medicare Regulations Medicaid 108

Home Health Care

APRIL 21, 2023

The Expanding Care in the Home Act (ECHA) would, among other things, create a personal care services benefit in Medicare to give aid to beneficiaries who are unable to afford out-of-pocket payments but don’t qualify for home care services by Medicaid. House of Representatives. Adrian Smith (R-NE) and Rep.

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Medicare Home Care Medicaid Prevention 92

Home Health Care

FEBRUARY 27, 2023

Nasdaq: SHCR) has expanded its home care offerings. The company will now bring its care management and transitional care programs for high-risk populations to more than just Medicare Advantage beneficiaries. “We Prior to the expansion, Sharecare served Medicare Advantage (MA) plans. Sharecare Inc.

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Home Care Care Transition Medicare Hospitals 76