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%

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Home Health Care

OCTOBER 24, 2024

To combat this trend, increased vetting is essential when hiring individuals to care for seniors in their homes. Background checks help home care agencies screen prospective caregivers before hiring them. Bryn Mawr, Pennsylvania-based Visiting Angels is a nationwide provider of home care services. “In

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Healthcare It News

APRIL 29, 2024

One way hospitals dealt with staffing shortages and the need for beds during COVID-19 was to use flexibilities allowed by the Centers for Medicare and Medicaid Services to treat acute care patients at

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Home Health Care

OCTOBER 22, 2024

That’s a phrase that should be hung up on home health providers’ walls across the country, according to Pinnacle Home Care CEO Shane Donaldson. There’s traditional Medicare rate cuts, Medicare Advantage (MA) penetration, staffing shortages and regulatory challenges in the home health market.

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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

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

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 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 Health Care

JULY 8, 2024

The Centers for Medicare & Medicaid Services’ (CMS) Guiding an Improved Dementia Experience (GUIDE) Model is live. Among its participants are a wide range of home-based care providers. One of its primary goals is keeping dementia patients out of brick-and-mortar facilities and in their homes and communities.

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Home Health Care

JULY 8, 2024

The in-home care company HarmonyCares – formerly known as U.S. The Troy, Michigan-based company is already in 15 states and cares for over 70,000 patients under Medicare Advantage (MA) plans and Medicare Accountable Care Organization (ACO) programs. Medical Management – has raised $200 million.

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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 Health Care

NOVEMBER 12, 2024

As tech enablement opens up a world of opportunities in home care, the human is still going to be there. Over the last year, we’ve had the opportunity to be part of the VA’s term program tech-enabled respite home care pilot. This pilot was driven by the U.S. Can you give an update on how this is going?

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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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Home Health Care

OCTOBER 1, 2024

This week, the Centers for Medicare & Medicaid Services (CMS) published a report on a study of its Acute Hospital Care at Home (AHCAH) program. This program permits specific Medicare-certified hospitals to provide inpatient-level care to patients in their homes.

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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

JUNE 17, 2024

This article is a part of your HHCN+ Membership The Medicaid Access Rule has been heralded by home care providers as a mostly good rule with one misguided piece: the 80-20 provision. Billing rates have already soared in private-pay home care since the COVID-19 pandemic, which has forced providers to get creative.

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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

JULY 31, 2024

As part of that partnership, Rochester-based WellBe will provide care directly to the homes of 30,000 of Excellus BCBS’ most vulnerable Medicare Advantage members in upstate New York. The post In-Home Care Provider WellBe Senior Medical Adds Two Strategic Investors appeared first on Home Health Care News.

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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

APRIL 22, 2024

“The ‘Ensuring Access to Medicaid Services’ final rule, finalized today, will help improve access to home care services as well as improve the quality caregiving jobs through its new provisions for home care,” the White House wrote in a statement Monday. But, for now, those provisions have taken a back seat. “It

Home Care 116

Home Care Medicaid Accountability Regulations 116

Home Health Care

AUGUST 16, 2022

The convener platform healthAlign has a front-row seat to see how home care is being utilized in Medicare Advantage (MA). We have pretty good insight into what you see take place over a period of time when these public policy changes occur,” Friedell said at HHCN’s Home Care Conference last December.

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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

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 Health Care

SEPTEMBER 9, 2024

NYSE: HUM) will be exiting 13 Medicare Advantage (MA) markets in 2025, company leaders said during the Wells Fargo Healthcare Conference. Diamond first teased this move earlier this year, after the Centers for Medicare & Medicaid Services (CMS) released its final rule for MA plans, which again included a net negative payment adjustment.

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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

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 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

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 98

Home Health Care

MAY 22, 2024

A new study of Medicare Advantage (MA) beneficiaries found that in-home companion care reduced care costs by close to 10%. Specifically, Papa was able to reduce health care costs by 9% among MA beneficiaries on behalf of health plans.

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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 Health Care

OCTOBER 25, 2024

This article is a part of your HHCN+ Membership The Federation of American Hospitals (FAH) released a statement Thursday regarding recent investigations into Medicare Advantage (MA) plans. Those investigations included concerns around claim denials, as well as discrepancies between MA plan practices when compared to traditional Medicare.

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Home Health Care

JUNE 18, 2024

Nurses of Mass General Brigham’s hospital-at-home program have voted to unionize, and the clinicians at the health system’s home care segment are hoping to follow suit. On May 16, 80 of the health system’s home-at-hospital nurses voted to join the Massachusetts Nurse Association (MSA).

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Home Health Care

SEPTEMBER 12, 2024

This article is a part of your HHCN+ Membership Essentia Health – a regional, nonprofit health system with a substantial home health arm – announced this week that it will no longer serve as an in-network provider for UnitedHealth Group (NYSE: UNH) and Humana Inc. NYSE: HUM) Medicare Advantage (MA) plans.

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Home Health Care

AUGUST 19, 2024

When examining a Medicare Advantage (MA) plan population, researchers found that there’s a substantial prevalence of homebound individuals. In the future, we’re going to be doing a whole lot more at home, and the hospital will become a big ER, OR and ICU,” he said. NYSE: HUM) MA beneficiaries in 2022.

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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 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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