Home Health Care

NOVEMBER 18, 2021

In-home support services are the most popular — and arguably impactful — supplemental benefit offered by Medicare Advantage (MA) plans under the primarily health-related category. Centers for Medicare & Medicaid Services (CMS) made supplemental benefits like in-home care allowable in 2018 for the 2019 plan year.

Medicare 124

Medicare Home Care Medicaid Prevention 124

Home Health Care

FEBRUARY 22, 2023

In order to become less dependent on fee-for-service business, home health providers have begun to take on more risk. That has led to an emergence of risk-based home care models, many of which have given providers room to partake in upside and downside risk. These areas are chronic care management and preventative care.

Home Care 89

Home Care Primary Care Hospice Care Hospitals 89

Home Health Care

AUGUST 30, 2021

CommonSpirit Health carved out $136 million in savings to Medicare for 2020, while also improving overall outcomes for hundreds of thousands of beneficiaries, the company recently announced. CommonSpirit Health is a participant in the Medicare Shared Savings Program (MSSP), which began back in 2012 after being designed by the U.S.

Medicare 115

Medicare Rehabilitation Home Care Accountable Care 115

Home Health Care

JANUARY 24, 2023

With the home care industry at a “pivot point,” it’s important for providers to take more control over their near- and long-term futures. I think where we have an immediate opportunity is in how to partner with skilled home health,” Slupecki said. “I Many home care companies believe they are capable of doing more in the home.

Home Care 80

Home Care Prevention Medicare Hospitals 80

Etactics

JUNE 29, 2023

Really the price of nursing home care depends on many different factors. In some cases, nursing home facilities have all-inclusive rates. And those who work with the elderly and disabled in a nursing home setting will likely find themselves working with Medicare. National coverage decisions made by Medicare.

Nursing 52

Nursing Medicare Home Care Medicaid 52

Home Health Care

DECEMBER 19, 2021

This year saw home care providers further build on the spotlight the public health emergency placed on the industry. As part of our annual tradition, Home Health Care News caught up with eight home care leaders to document their predictions on trends, challenges and opportunities for the coming year.

Home Care 128

Home Care Regulations Nursing Hospitals 128

Home Health Care

JULY 24, 2022

Along with achieving better health outcomes, Medicare Advantage (MA) checks in at annual consumer savings of roughly $2,000. That’s according to a new report from the research and advocacy organization Better Medicare Alliance (BMA). million beneficiaries, or 45% of the Medicare population. Source: Better Medicare Alliance.

Medicare 95

Medicare Hospitals Home Care Prevention 95

Home Health Care

JUNE 29, 2022

House lawmakers are pushing for more oversight of Medicare Advantage (MA) plans in light of concerns over higher spending, improper claim denials and access to treatment. Several studies have raised concerns that insurance companies are denying beneficiaries’ access to treatment and imposing burdensome requirements that delay care.

Medicare 83

Medicare Prevention Accountability Medicaid 83

Home Health Care

OCTOBER 4, 2022

With the annual enrollment period just around the corner, Medicare Advantage (MA) organizations are starting to tout what benefits they’re offering seniors for the upcoming year. MA is a form of Medicare that is administered by private insurers. Medicare open enrollment runs from October 15 to December 7, 2022. Humana Inc.

Medicare 105

Medicare Primary Care Urgent Care Home Care 105

Home Health Care

DECEMBER 9, 2022

The program is designed to recognize up-and-coming industry members who are shaping the next decade of senior housing, skilled nursing, home health, and hospice care. Aaron Stapleton, founder and CEO of the Cincinnati-based Trinity In Home Care, has been named a 2022 Future Leader by Home Health Care News.

Home Care 98

Home Care Nursing Hospice Care Hospitals 98

Home Health Care

APRIL 12, 2024

In past years, Medicare-certified home health agencies and Medicaid personal care services providers have been big focus areas for government watchdogs. While there’s still plenty of oversight, the spotlight on home health and personal care providers appears to have dimmed somewhat. billion in claims.

Medicaid 96

Medicaid Medicare Home Care Regulations 96

Home Health Care

MARCH 28, 2022

Home care franchise giant Seniors Helpers entered this year with big ambitions, partly fueled by its April 2021 acquisition by Advocate Aurora Enterprises. For our latest episode of “Disrupt,” Home Health Care News caught up with Ross to learn more about Senior Helpers’ plans in 2022 and its relationship with Advocate.

Home Care 90

Home Care Medicare Hospitals Medicaid 90

Home Health Care

DECEMBER 5, 2021

Among its home- and community-based care initiatives, Aetna is doubling down on the use of telehealth and leaning into the CVS HealthHUB network, which offers seniors a range of services, from preventative care all the way to acute care. million Medicare members nationwide.

Medicare 109

Medicare Urgent Care Nursing Prevention 109

Home Health Care

AUGUST 1, 2023

recently celebrated the three-year anniversary of its hospital-at-home program. In 2019, Mayo Clinic CEO Gianrico Farrugia stated that high-acuity home care would be part of not only Mayo Clinic’s future, but the health care industry’s at large. About 75% to 80% of our patients are Medicare CMS waiver.

Home Care 96

Home Care Hospitals Physical Therapy Nursing 96

Home Health Care

DECEMBER 20, 2023

Staffing shortages, rate cuts and Medicare Advantage penetration will continue to be trends in the home health market in 2024. Home health leaders are focused on mitigating margin compression, utilizing more technology, leveraging Artificial Intelligence, working smarter with MA plans and more in the new year. Those aren’t new.

Home Care 106

Home Care Medicare Nursing Integration 106

Home Health Care

FEBRUARY 16, 2024

Typically it’s a clinical hold, or regulatory issue that prevents the claim from being billed. Avoiding pitfalls At American Advantage Home Care, there is a system in place to prevent unbilled claims from pilling up. president and CEO of American Advantage Home Care, told HHCN. “‘Let’s

Home Care 106

Home Care Medicare Prevention Nursing 106

Home Health Care

SEPTEMBER 20, 2022

When it comes to Medicare Advantage (MA) versus traditional Medicare, members of the former use less home health care and post-acute care in general. The analysis examines 62 studies that look at the experiences of MA and traditional Medicare beneficiaries, including utilization.

Medicare 96

Medicare Home Care Medicaid Prevention 96

Home Health Care

MAY 30, 2022

The findings throw further support for facility-based care alternatives, including the types of hospital-at-home models that lean heavily on home health and home care agencies. Among their findings, investigators determined that one in four hospitalized Medicare patients experienced harm during their stay.

Hospitals 89

Hospitals Medicare Prevention Home Care 89

Home Health Care

FEBRUARY 22, 2024

That is the core driver of a lot of home health providers’ AI strategies: finding ways to become more efficient to avoid fallout from any rate cuts from the Centers for Medicare & Medicaid Services (CMS). Alivia Care CEO Susan Ponder-Stansel is taking the same approach, but through a different lens.

Home Care 106

Home Care Prevention Nursing Medicare 106

Home Health Care

APRIL 22, 2024

The White House teased the finalized Medicaid Access Rule early Monday, and the Centers for Medicare & Medicaid Services (CMS) later revealed more intricate details attached to the rule. I think disappointed is probably a better word,” National Association for Home Care & Hospice (NAHC) President William A.

Medicaid 74

Medicaid Home Care Quality of Care Medicare 74

Home Health Care

AUGUST 25, 2021

Centers for Medicare & Medicaid Services (CMS) is sure to add more fuel to the fire for the “Choose Home” initiative and other movements aiming to bring more care into the home. This legislation is about patient choice, not the business interests of health care providers. The potential impact on legislation.

Nursing 106

Nursing Home Care Medicare Accountability 106

Home Health Care

MAY 10, 2024

There’s no time to rest for home-based care providers and advocates on the regulation front, however. Summer is near, and that means so is the home health proposed payment rule from the Centers for Medicare & Medicaid Services (CMS). This must include home health services for people with Medicare.

Medicare 74

Medicare Medicaid Home Care Regulations 74

Home Health Care

SEPTEMBER 6, 2023

The Centers for Medicare & Medicaid Services (CMS) unveiled a new state-focused demonstration model Tuesday. One of the model’s primary objectives is to shift health care spending and utilization more toward primary and community-based care. is facing a significant primary care physician shortage. The Washington, D.C.-based

Primary Care 109

Primary Care Population Health Medicare Medicaid 109

Home Health Care

NOVEMBER 29, 2023

One of the reasons our company was founded was to develop deeper, more personal relationships with patients and their families in the home care marketplace.” At Home Health Care News’ FUTURE event in August, Myers explained why he believed joining Optum was the correct move. Proffitt laid out the numbers next.

Home Care 110

Home Care Care Transition Hospitals Primary Care 110

Home Health Care

JULY 28, 2022

The Preserving Access to Home Health Act, which was introduced in the Senate earlier this week, was also introduced in the House on Thursday. The bill would prevent the U.S. Centers for Medicare & Medicaid Services (CMS) from reducing home health payments from now until 2026.

Home Care 99

Home Care Medicare Medicaid Prevention 99

Healthcare ECONOMIST

JUNE 16, 2023

diagnostic testing or a preventive medicine) because the later-stage savings accrue to Medicare or Medicaid. There are many more details in the paper as well including market failures with respect to private long-term care insurance, the impact of AD on financial decisionmaking, and future research topics on the economics of AD.

Home Care 96

Home Care Pharmaceuticals Nursing Medicaid 96

Home Health Care

MARCH 24, 2023

“Ultimately, the provider community is going to get a lot more aggressive or it’s going to become a big issue, especially as more and more patients are doing Medicare Advantage,” McBee Associates President Mike Dordick told Home Health Care News. Traditional Medicare used to take up about 70% of that business.

Medicare 98

Medicare Home Care Nursing Hospitals 98

Home Health Care

OCTOBER 7, 2022

Department of Health and Human Services (HHS) is accusing the federal agency of failing to properly administer the Medicare home health benefit. Although the lawsuit may come as a surprise to some, it doesn’t for Bill Dombi, the president of the National Association for Home Care & Hospice (NAHC).

Medicare 98

Medicare Home Care Nursing Prevention 98

Home Health Care

JUNE 23, 2022

Centers for Medicare & Medicaid Services (CMS) Administrator, Seema Verma, did not paint a rosy outlook for the home health industry this week in Chicago. Verma said at Lincoln Healthcare’s Home Care Innovation and Investment Conference Wednesday. The former U.S.

Medicare 118

Medicare Medicaid Home Care Hospitals 118

Home Health Care

NOVEMBER 7, 2023

“We know from our clinical partners that local hospitals are experiencing a capacity crunch – we’re doing what we can to help,” BCBS of Massachusetts Chief Medical Officer Dr. Sandhya Rao told Home Health Care News in an email. “By Prior authorization requirements will be dropped for home health care in commercial plans by Jan.

Physical Therapy 102

Physical Therapy Patient Safety Hospitals Medicare 102

Home Health Care

SEPTEMBER 23, 2021

Trade groups, providers and individuals have always advocated on behalf of the home health and home care sectors. Not many fight for legislative and regulatory causes as much as the National Association for Home Care & Hospice (NAHC). In doing so, stakeholders have confronted both wins and losses along the way.

Home Care 97

Home Care Law Firms Medicare Primary Care 97

Home Health Care

MAY 26, 2023

There are a number of key issues that home-based care providers looking to navigate legal and regulatory hurdles need to keep their eye on – some old, and some new. When the industry has pulled together, worked together, and spoken in a singular voice, that has been a very effective strategy,” he said.

Home Care 90

Home Care Law Firms Nursing Medicaid 90

Briggs Healthcare

JULY 18, 2022

“After decades of exposés, special commissions, and advocacy, the moment has arrived to commit to making the residential nursing home a good place to live (National Academies of Sciences, Engineering, and Medicine, 2022). The horrendous death toll for nursing home residents and staff, 15.4% 2020; Harrington et al., 2019; Hawes et al.,

Nursing 80

Nursing Regulations Medicaid Home Care 80

Home Health Care

OCTOBER 31, 2022

That’s a phased-in approach that the Centers for Medicare & Medicaid Services (CMS) would like to continue in coming years. . “We We now turn to Congress to correct what CMS has done and prevent the impending harm to the 3.2 Traditionally, fee-for-service Medicare has been the best payment source for home health agencies.

Medicare 95

Medicare Medicaid Home Care Prevention 95

Home Health Care

JUNE 30, 2023

In the view of most health care stakeholders, the hospital-at-home model is here to stay. Still, there are many hurdles that could still prevent widespread adoption. The Boston-based Biofourmis is a technology-focused at-home care enabler. It hasn’t been extended past that.”

Hospitals 94

Hospitals Home Care Prevention Medicare 94

Home Health Care

NOVEMBER 28, 2022

Chandler sat down with HHCN to talk about the importance of communication skills, how senior living eventually introduced him to home care and why he’s excited about the future of reimbursement. Originally, I started in senior care as a resident assistant and a private caregiver. HHCN: What drew you to this industry?

Home Care 85

Home Care Nursing Hospice Care Prevention 85

Home Health Care

SEPTEMBER 19, 2021

To help move the needle and better reach seniors in their homes, Clover Health (Nasdaq: CLOV) announced that it’s teaming up with MedArrive, an up-and-coming health care logistics and services platform led by Dan Trigub, the former head of Uber Health. The effort will initially kick off in New Jersey. million in seed funding.

Primary Care 103

Primary Care Medicare Home Care Hospitals 103