Home Health Care

MAY 16, 2024

This article is a part of your HHCN+ Membership If there were ever a time for Medicare Advantage-related troubles to cool off in the home health care space, now would be it. And, heading into the summer, some of the largest home health providers in the country are scoring demonstrable wins that could lead to future success.

Medicare 88

Medicare Hospitals Accountability Medicaid 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.

Home Care 77

Home Care Physical Therapy Medicare Accountable Care 77

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.

Home Care 52

Home Care Law Firms Medicare Accountability 52

Home Health Care

NOVEMBER 21, 2022

Home care executives are expecting a few separate things to shake up the market in the coming years. Consolidation in home care has lagged compared to home health care. One of the reasons why is that PE involvement in personal home care has also lagged. Sorrenti, CEO of Best Life Brands.

Home Care 99

Home Care Accountability Nursing Medicare 99

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 111

Medicare Rehabilitation Home Care Accountable Care 111

Home Health Care

AUGUST 19, 2022

Integrated Home Care Services hires new CEO. Integrated Home Care Services Inc. Indeed, the appointment comes on the heels of Integrated Home Care Services’ national expansion efforts. Currently, Integrated Home Care Services delivers home-based care to over 2.2

Home Care 73

Home Care Integration Medicare Medicaid 73

Home Health Care

APRIL 28, 2023

Centers for Medicare & Medicaid Services (CMS) proposed a new rule that would make major changes to the way that home care workers are compensated under Medicaid. Anderson also noted that home care agencies working under Medicaid often vary in size. On Thursday, the U.S.

Medicaid 91

Medicaid Accountability Quality Assurance Home Care 91

Home Health Care

FEBRUARY 1, 2023

Before other states start to consider minimum wage increases for home care workers, it would be beneficial for them to understand what has – and hasn’t – gone well in New York. In the spring of 2022, New York legislators passed a law that gave home care workers an extra $1 per hour above the state’s $15 minimum wage.

Home Care 81

Home Care Medicaid Law Firms Nursing 81

Home Health Care

DECEMBER 20, 2022

Data examinations are beginning to shed greater insight on just how much better value-based payment models are for quality of care. When comparing two-sided risk models in Medicare Advantage (MA) versus fee-for-service Medicare programs, the former performed better in all eight quality-of-care metrics.

Quality of Care 83

Quality of Care Medicare Accountability Home Care 83

Briggs Healthcare

JUNE 28, 2023

Both the changes to Nursing Home Care Compare and the publishing of the Nursing Home Affiliated Entity Performance Measures dataset on data.cms.gov will take place on June 28, 2023. Affiliated entity names and ID numbers will be published in the ownership sections for each facility on Nursing Home Care Compare.

Nursing 52

Nursing Home Care Measurable Quality Medicare 52

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.

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Medicare Prevention Accountability Medicaid 77

Home Health Care

MAY 24, 2024

What is surprising is that the program they continually target in budget cutbacks has an impressive record of saving the government billions: Medicare-certified home health care. Government-funded health care programs like Medicare, Medicaid and Medicare Advantage (MA) home health are closely connected in how they are financed.

Medicare 112

Medicare Medicaid Nursing Home Care 112

Home Health Care

APRIL 6, 2022

And while there are plenty of kinks to work through before these benefits become a significant revenue driver for home-based care agencies, their increasing popularity is undoubtedly encouraging. Take into account the plans offering IHSS through either pathway, and that number jumps to 18% of all plans, or 952 total plans.

Home Care 91

Home Care Medicare Accountability Medicaid 91

Home Health Care

JULY 8, 2024

Providers examining the 2025 home health proposed payment rule may be experiencing some déjà vu, according to William A. Dombi, the president of the National Association for Home Care & Hospice’s (NAHC). Centers for Medicare & Medicaid Services (CMS) unveiled its home health proposed payment rule for 2025.

Medicare 100

Medicare Home Care Accountability Medicaid 100

Home Health Care

NOVEMBER 7, 2021

Now that the final home health payment rule for 2022 has been floating around for a few days, industry insiders have had time to pick it apart and zero in on key changes, including the nationwide expansion of the Home Health Value-Based Purchasing (HHVBP) Model. This delay will give home health providers across the U.S.

Medicare 102

Medicare Performance improvement Medicaid Quality of Care 102

Home Health Care

APRIL 15, 2024

Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives. TEAM would be yet another model furthering that goal, if enacted.

Accountability 66

Accountability Medicare Home Care Quality of Care 66

HIT Consultant

FEBRUARY 3, 2022

What You Should Know: – ConcertoCare , a value-based care provider of at-home care for seniors and other adults with unmet health and social needs raises $105M in Series B funding led by Wells Fargo Strategic Capital. At-Home Care Model to More Seniors with Unmet Health and Social Needs. Why It Matters.

Home Care 52

Home Care Primary Care Population Health Medicare 52

Home Health Care

MARCH 14, 2024

Individuals who are dually eligible for both Medicare and Medicaid make up a sizable portion of the overall home-based care population. Too often, though, this dual status comes with frustrating challenges around care plans and coordination. In Medicaid, duals account 30% of spending and 14% of enrollment.

Medicaid 91

Medicaid Medicare Accountability Integration 91

Home Health Care

MARCH 7, 2024

Hospice providers began to work with Medicare Advantage (MA) via the Value-Based Insurance Design (VBID) demonstration in 2021. This will have an impact on home health providers who offer hospice services, obviously. This will have an impact on home health providers who offer hospice services, obviously.

Medicare 85

Medicare Home Care Hospice Care Accountability 85

Home Health Care

MAY 8, 2023

“The outstanding depth of his experiences and accomplishments as a leader within a variety of nonprofit and academic health care settings makes him the ideal person to lead Hebrew SeniorLife in its mission to empower seniors to live their best lives.” Nasdaq: MODV).

Home Care 52

Home Care Primary Care Accountability Medicaid 52

Home Health Care

FEBRUARY 8, 2024

This article is a part of your HHCN+ Membership Home-based care providers avoiding the shift to value-based care are running out of time and excuses. Home health providers are already under the Home Health Value-Based Purchasing (HHVBP) Model, which is, by definition, a value-based care model.

Medicare 109

Medicare Accountable Care Accountability Primary Care 109

Home Health Care

JULY 18, 2024

He will head up the company’s strategic initiatives around Medicare Advantage (MA), and a virtual home health model to support MA business. Bringing Jeff on board is a huge lift for New Day as we continue to ‘Burn the Ships’ and change the way home health care is delivered,” New Day CEO G.

Healthcare 57

Healthcare Home Care Primary Care Medicare 57

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. 31, 2020, accounting for the majority of the COVID-19 pandemic in the U.S. The study period was between March 1, 2020, and Dec.

Nursing 100

Nursing Home Care Medicare Accountability 100

Home Health Care

OCTOBER 4, 2022

Medicare Advantage (MA) plans are now allowed to tout the benefits they will be offering their members in 2023. Home-based care providers should be “delighted” at what the preliminary data shows. The growth for in-home support services is really significant,” Cromer told Home Health Care News. “I

Home Care 100

Home Care Medicare Accountability 100

Home Health Care

MAY 5, 2023

As Medicare Advantage (MA) penetration continues, home health agencies are coming to grips with the additional — and sometimes hidden — costs that are associated with transitioning to a payer mix more dominated by MA. They’re so large and their processes have worked so well for traditional Medicare.

Medicare 90

Medicare Home Care Accountability Nursing 90

Home Health Care

JANUARY 30, 2023

The Centers for Medicare & Medicaid Services (CMS) released a final rule Monday that takes aim at overpayments and accountability within Medicare Advantage (MA). Home health and home care providers have been vying for more MA oversight for years. billion in overpayments to start.

Medicare 82

Medicare Accountability Medicaid Home Care 82

Home Health Care

DECEMBER 12, 2023

The Medicare Payment Advisory Commission (MedPAC) recommended that the Medicare base payment rate for home health care be reduced by 7% for CY 2025. The recommendation is another chapter in the contentious relationship between the commission and the home health industry. billion on home health services in 2022.

Medicare 89

Medicare Accountability Home Care Hospitals 89

Home Health Care

SEPTEMBER 15, 2023

Briggs sat down with HHCN to talk about: how summer camp led him to home care, the importance of empathy while working in the space and ways to make care more affordable for those who need it. My wife also works for the same home care agency — Family & Nursing Care. HHCN: What drew you to this industry?

Nursing 93

Nursing Home Care Hospice Care Accountability 93

Healthcare It News

AUGUST 29, 2022

Employees using Galileo avoid more expensive visits to in-person specialty, urgent or ER care 80% of the time. More than 85% of patients report improved health after receiving care from Galileo. From there, we established partnerships with both regional and national health plans to offer virtual-first care to their members.

Telemedicine 261

Telemedicine Primary Care Medicaid Urgent Care 261

Home Health Care

DECEMBER 15, 2021

A new analysis from the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS) estimates that health care spending in the U.S. And home health care, in particular, experienced robust spending growth. Medicare spending hit $829.5 increased 9.7% trillion in 2020. in 2020, up from 15.3%

Medicaid 88

Medicaid Medicare Accountability Nursing 88

Home Health Care

MARCH 30, 2023

This article is a part of your HHCN+ Membership During the last week of March, hundreds of stakeholders vied on behalf of home-based care in Washington, D.C., Personal home care provider and advocate voices did so with an excitement for the future, fresh off the high of the president mentioning multiple times in a month.

Medicare 106

Medicare Accountability Hospitals Home Care 106

Home Health Care

JUNE 3, 2024

This article is a part of your HHCN+ Membership Last month, the Centers for Medicare & Medicaid Services (CMS) revealed that it planned to extend Review Choice Demonstration (RCD) for five additional years. Though many home health providers had a bumpy start when RCD first launched, most of the industry has since adjusted.

Medicare 97

Medicare Home Care Accountability Medicaid 97

Home Health Care

JUNE 20, 2023

One of the biggest opportunities that home-based care providers have today is to dive deeper into patient engagement, according to SCAN Group CEO Dr. Sachin Jain. The number one value that I think all of us see with moving into the home is engagement, but we have a huge problem with it in American health care,” Jain said.

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Medicare Home Care Accountable Care Primary Care 91

Home Health Care

SEPTEMBER 3, 2022

Seniors on Medicare Advantage health plans may not always be receiving high quality care, a new study shows. The study’s authors concluded that paying higher premiums is not always necessary when seniors are trying to receive high quality care from an MA plan.

Medicare 105

Medicare Quality of Care Accountability Medicaid 105

Home Health Care

APRIL 14, 2023

One of the pillars of that plan is a comprehensive home-based care strategy, one that will be bolstered by its recent $8 billion acquisition of Signify Health. We’re envisioning a new landscape for the delivery of health care,” Jamie Sharp, VP and Medicare chief medical officer at Aetna, said.

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Medicare Primary Care Accountability Home Care 97

Home Health Care

APRIL 4, 2023

A recent study found that in areas with a higher percentage of people enrolled in Medicare Advantage (MA) plans, traditional Medicare beneficiaries use less post-acute care services. Additionally, those areas did not see an increase in hospital readmissions, despite the drop in post-acute care services.

Medicare 76

Medicare Accountable Care Hospitals Accountability 76

Home Health Care

JUNE 17, 2022

Centers for Medicare & Medicaid Services (CMS) released its FY 2023 home health proposed payment rule late Friday. Dombi, the president of the National Association for Home Care & Hospice (NAHC), wrote in a comment shared with Home Health Care News.

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Accountability Medicaid Home Care Medicare 109