CMS launches model to increase primary care investment in Medicare
Health Care Dive
MARCH 20, 2024
Value-based care and physician interest groups said the model should create a more stable cash flow for physician groups.
This site uses cookies to improve your experience. By viewing our content, you are accepting the use of cookies. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country we will assume you are from the United States. View our privacy policy and terms of use.
Health Care Dive
MARCH 20, 2024
Value-based care and physician interest groups said the model should create a more stable cash flow for physician groups.
Fierce Healthcare
OCTOBER 12, 2023
Wellvana, a value-based care enabler, is joining forces with AdventHealth as an exclusive partner to its primary care network in Florida. | AdventHealth is transitioning its entire primary care network in the state to value-based care for Medicare and Medicare Advantage patients.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Fierce Healthcare
JUNE 8, 2023
The Centers for Medicare and Medicaid Services aims to advance value-based primary care, especially in rural areas and among underserved populations, with a new pilot project. |
Fierce Healthcare
MARCH 19, 2024
The Centers for Medicare & Medicaid Services (CMS) has announced the ACO Primary Care Flex Model (ACO PC Flex Model), allowing eligible accountable care organizations to treat people with with | Accountable care organizations are largely supportive of CMS' new primary care model released Tuesday, they wish the agency would broaden its scope (..)
Healthcare It News
MAY 31, 2023
The participating primary care practices, all part of Patient-Centered Outcomes Research Institute’s clinical research network, were either general, family, ambulatory internal medicine, preventive medicine or geriatric medicine practices. They self-identified their point of maturation.
Healthcare It News
MARCH 2, 2023
To explore the efficacy of primary care telehealth, a recent Epic Research study examined the frequency of in-person physician visits that followed 18,636,522 primary care telemedicine appointments. "We found that patients covered by Medicaid and Medicare had the highest in-person follow-up rates," they said.
Home Health Care
MARCH 13, 2024
By breaking down barriers between patients and at-home primary care, the whole continuum wins. Case in point, Patina Health has a specific strategy when it comes to delivering at-home primary care. Patina Health is a Philadelphia, Pennsylvania-based home-focused primary care medical practice.
Health Care Dive
MAY 17, 2022
The payer plans to open about 100 new value-based primary care clinics for Medicare patients between 2023 and 2025 through the latest deal.
Home Health Care
SEPTEMBER 1, 2023
CenterWell Senior Primary Care – a part of Humana Inc. It announced Wednesday that, in select Georgia and Louisiana locations, patients would be able to receive at-home primary care services under its “CenterWell Primary Care Anywhere” program. CenterWell is Humana’s senior care services arm.
HIT Consultant
OCTOBER 27, 2023
has seen a consistent decline in primary care clinicians since 2014 due to fewer clinicians entering the workforce, increased rates of burnout and decreased direct patient care, according to the latest evidence report from the Primary Care Collaborative and Robert Graham Center. In 2022, MSSP saved Medicare $1.8
Home Health Care
MARCH 28, 2022
Florida Blue Medicare — the state’s Blue Cross and Blue Shield Medicare plan — is collaborating with Emcara Health to offer eligible members access to home-based primary care. The collaboration reflects how payers are increasingly turning to in-home care organizations of all shapes and sizes.
Home Health Care
MARCH 19, 2024
The Centers for Medicare & Medicaid Services (CMS) announced a new voluntary model Tuesday – centered around primary care providers – that could offer home-based care providers more opportunity to dive into risk-based care. The model was another creation of the CMS Innovation Center.
Health Care Dive
NOVEMBER 1, 2022
The provider, which focuses on care for seniors, is collaborating with Cigna to offer house calls and remote monitoring to Medicare Advantage customers in four states.
Home Health Care
AUGUST 7, 2023
Since the at-home primary care provider Patina launched, it has been busy forming partnerships with some of the largest payers in the country. As a way to provide a better experience for their Medicare Advantage (MA) patients, Humana Inc. Then we help create a personalized care plan for you to help you implement that.”
Home Health Care
SEPTEMBER 27, 2023
There are significant differences in home-based medical care utilization between Medicare Advantage (MA) and traditional Medicare beneficiaries. Specifically, having exactly one home-based medical care visit was 31 times as likely for MA beneficiaries, at 18.6%, compared to traditional Medicare beneficiaries at 0.6%.
NASHP
OCTOBER 2, 2023
Have you heard about the Center for Medicare and Medicaid Innovation’s (the Innovation Center) States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, which includes hospital global budgets and investments in primary care? If so, please join this webinar to learn more. Supported by Arnold Ventures.
Home Health Care
SEPTEMBER 12, 2023
CVS Health (NYSE: CVS) believes that its home-based care and primary care capabilities will unlock value and create long-term earnings power for the company. And we said we needed to build out national provider capabilities either through primary care or in the home.” and believe it’s set up perfectly to do so.
Home Health Care
MARCH 12, 2024
As Medicare Advantage (MA) plans continue to gain more beneficiaries, home-based care providers find themselves at a crossroads. Source: Chartis “The Medicare Advantage market is still growing and is a very attractive market,” Alexis Levy, managing director at HealthScape Advisors, told Home Health Care News.
Home Health Care
MARCH 30, 2023
With only a couple years under its belt since its launch, Patina Health – a Philadelphia, Pennsylvania-based home-focused primary care medical practice – has secured partnerships with multiple major health plans. Patina’s work with payers combines care coordination and primary care services for seniors.
Home Health Care
APRIL 24, 2023
Given their shared goals of closing care gaps, home-based primary care providers should be home health providers’ natural ally. We’re all working in our own little silos, and don’t really understand the incentives and challenges of each other,” she told Home Health Care News. That could change soon, however.
Health Care Dive
OCTOBER 25, 2023
Value-based primary care chains for seniors operated by major retail health players did particularly well, with Amazon’s Iora, CVS’ Oak Street and Walgreens’ VillageMD all notching high net savings.
Home Health Care
JANUARY 10, 2023
(NYSE: HUM) hopes to have more of its members utilizing all three of its health care service arms in order to drive up margins and revenues. If CenterWell Primary Care continues to grow at the rate that it is, CenterWell Home Health’s footprint will undoubtedly grow with it, Humana CFO Susan Diamond said during the J.P.
HIT Consultant
NOVEMBER 30, 2023
What You Should Know: – Anthem Blue Cross and Blue Shield in Virginia and Aledade , the nation’s largest network of independent primary care, today announced an expansion of their collaboration to provide more Virginians with access to high-quality primary care.
Home Health Care
OCTOBER 2, 2023
The utilization of home-based primary care (HBPC) for high-need, high-cost patients could lead to lower rates of potentially avoidable hospitalizations after two years of care. caring for Medicare patients. This encompasses many clinicians for whom HBPC isn’t the main focus of their care, Kimmey added.
Home Health Care
OCTOBER 23, 2023
Insurance companies selling Medicare Advantage (MA) plans have been facing increased scrutiny from members of Congress and regulators, with critics of the private version of Medicare claiming carriers are profiting far too much. There was a 364% increase in plans offering the benefit since 2020. The agency is implementing a 3.3%
Health Populi
SEPTEMBER 27, 2023
I’ll be referring to the research, with gratitude, over the coming months for my own work with clients spanning the health/care ecosystem. health care financing. healthcare spending, with curves moving up and to the right, and the Medicare Hospital Insurance Trust Fund moving into the opposite direction toward insolvency by 2033.
Home Health Care
MAY 16, 2022
billion into a joint venture (JV) to further expand its senior-focused value-based primary care clinics. Specifically, Humana’s CenterWell Senior Primary Care arm will be the partner in the expanded WCAS relationship. CenterWell is the largest senior-focused, value-based primary care group in the U.S.
Home Health Care
NOVEMBER 16, 2021
SCAN Group has entered into the in-home senior primary care space with the launch of Welcome Health. Dr. Scott Weingarten will serve as CEO of the independent primary care medical group moving forward. Welcome Health will care for predominantly Medicare Advantage patients,” Weingarten told Home Health Care News.
Home Health Care
DECEMBER 16, 2021
All of those companies – VillageMD, Heal and Patina – have two things in common: They are primary care providers, and they are more focused than their peers on the home as a setting for care. The senior survey respondents were individuals aged 64 to 85 that are – or soon will be – enrolled in Medicare Advantage plans.
HIT Consultant
AUGUST 28, 2023
VP, Strategic Solutions at Definitive Healthcare Primary care is at a tipping point. However, in the past, primary care delivery has been dictated by changes in payor-led reimbursement models. Amazon is also making moves to dominate physician markets, buying out primary care practice One Medical.
Home Health Care
JUNE 28, 2022
Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) are taking steps to improve oncology care and primary care this week. While both are not directly related to home-based care, the federal government pushing this should pique providers’ interest.
HIT Consultant
JUNE 21, 2023
What You Should Know: Aledade , a Bethesda, MD-based network of independent primary care practices raises $260M in a Series F funding round led by new investor Lightspeed Venture Partners , with participation from Venrock , Avidity Partners , OMERS Growth Equity , and Fidelity Management & Research Company. David Blumenthal , M.D.,
HIT Consultant
OCTOBER 3, 2023
What You Should Know: Concert Health , a leading behavioral health medical group, today announced a collaboration with Mass General Brigham , an integrated academic health care system, to expand behavioral health services delivered through primary care.
HIT Consultant
JUNE 6, 2022
Delivering Value-Based Primary Care. Founded in 2014 by former National Coordinator for Health IT, Farzad Mostashari, Aledade began building ACO networks for independent physicians through the Medicare Shared Savings Program, but now also partners with commercial payers across the country.
Fierce Healthcare
JUNE 28, 2023
Author Health banked $115 million for its new platform offering care and treatment for Medicare Advantage members with serious mental illness and substance use disorders. Humana will be the first to launch the startup’s services in conjunction with CenterWell Senior Primary Care in South Florida.
Home Health Care
JUNE 26, 2023
Health plans are looking for ways to differentiate and improve medical cost and quality across the health care spectrum. Within Medicare Advantage lies the top 10% of seniors with complex conditions, and many of these patients face challenges that go beyond the chronic conditions.” The company will begin operating in Oregon next month.
Home Health Care
SEPTEMBER 19, 2021
More and more primary care centers have chosen to specialize in serving seniors. mainly through its CenterWell Senior Primary Care arm, have all solidified their spots in the senior care sector by becoming a one-stop-shop for geriatric services. In particular, companies such as CareMax Inc. per member.
Home Health Care
NOVEMBER 30, 2023
“At Humana, our unwavering commitment has always been to provide high-quality care and improve health outcomes,” Julie Mascari, president of Humana Northeast regional Medicare, said in a press statement. “By As part of the collaboration, the companies will serve Humana’s New York Medicare Advantage members in their homes.
HIT Consultant
OCTOBER 26, 2021
– Patina has created a new model of primary care, in collaboration with Patina Medical Group, to profoundly improve the healthcare and aging experience for adults 65 and older. Patina Care Experience Team.
Healthcare ECONOMIST
DECEMBER 3, 2023
Now that 51% of Medicare beneficiaries are enrolled in Medicare Advantage (MA) , one key question is how restrictive are MA narrow networks? While beneficiaries enrolled in Medicare fee-for-service can choose any provider, MA plans can impose restrictions on enrollee’s provider choices.
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.’
Health Care Dive
JANUARY 31, 2024
The payer is leveraging CenterWell’s growing network of primary care centers for seniors to boost margins in its hard-pressed Medicare Advantage business.
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.
Home Health Care
OCTOBER 26, 2021
Patina Health – a primary care startup focused on delivering care in the home – announced a Series A funding round of $57 million early Tuesday. We’ve used the research we’ve done to reinvent primary care from the perspective of older adults, backwards. That study surveyed nearly 1,000 older adults and caregivers.
Expert insights. Personalized for you.
We have resent the email to
Are you sure you want to cancel your subscriptions?
Let's personalize your content