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.

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Healthcare It News

JUNE 9, 2022

Primary care in the U.S. On one hand, the value of primary care physicians has never been higher. The evidence of that is in the tens of billions of dollars of investment in healthcare – more than $39 billion invested in the sector last year alone, with a notable focus on primary care.

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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.

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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.

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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.

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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

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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.

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Home Health Care

OCTOBER 30, 2024

Medicare Advantage (MA) star ratings have become a hot topic for Humana Inc. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) over its drop in star ratings. In addition, Humana has its provider services arm CenterWell, which includes home health, pharmacy and primary care.

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NASHP

MAY 10, 2024

This blog post summarizes both the Primary Care AHEAD requirements identified by CMS and additional strategic considerations for states. Primary Care AHEAD Overview and Requirements Primary Care AHEAD is a key component of the AHEAD Model. A core aspect is a focus on alignment between payers.

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HIT Consultant

JULY 9, 2024

. – The funding round, led by General Catalyst , McKesson Ventures , and a large national payer, underscores the critical need to address the primary care access gap in the United States. Their physicians gain a deep understanding of each patient’s social and clinical needs, fostering better care coordination.

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Health Care Dive

SEPTEMBER 19, 2024

Before the primary care chain was purchased by CVS Health, Oak Street illegally paid marketing agents for referring Medicare-eligible seniors to its clinics, according to the Department of Justice.

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Home Health Care

SEPTEMBER 20, 2024

The DOJ alleged that Oak Street paid kickbacks to those agents in exchange for the recruitment of seniors to its primary care clinics. Oak Street Health is a senior-focused primary care provider. Boynton, head of the Justice Department’s Civil Division, said in a statement. “We

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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.”

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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.

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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.

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Primary Care Hospitals Medicaid Medicare 105

Home Health Care

JULY 24, 2024

Seniors who have difficulty leaving their homes or accessing traditional medical facilities have a new option for health care: mobile, medical home care visits from Horizon Care Services. Horizon Care Services is already a successful home care, care management and senior placement provider in Florida.

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HIT Consultant

JUNE 14, 2024

What You Should Know: – HealthTap , a virtual healthcare provider, just announced a major step towards making quality primary care accessible to all. Access to Affordable Primary Care to 280 Million Americans Millions of Americans lack access to a regular primary care doctor.

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HIT Consultant

JULY 15, 2024

– The AMGA survey underscores the need for addressing factors impacting physician compensation, particularly in primary care. Sustainable solutions might involve adjustments to Medicare payment updates or exploring alternative funding models. increase, while primary care lagged behind at 3.6%.

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Primary Care Medicare 52

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.

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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%.

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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.

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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. The post A ‘Predictor Of Poor Outcomes’: Recognizing Homebound Seniors In Medicare Advantage appeared first on Home Health Care News. NYSE: HUM) MA beneficiaries in 2022.

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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.

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Home Health Care

AUGUST 13, 2024

Last week, UnitedHealth Group (NYSE: UNH) defended its utilization of in-home health assessments, which are visits used widely by Medicare Advantage (MA) plans looking to fill gaps in patient care. Within 90 days of a HouseCalls visit, 75% of patients receive additional primary care in a clinic.

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Home Health Care

JULY 31, 2024

A month in, he’s already tasked with facing tough questions, like how the company plans to combat regulatory headwinds in Medicare Advantage (MA) and home health care. CenterWell – its provider services arm – includes home health care, primary care and pharmacy services. “We NYSE: HUM) on the first of July.

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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.

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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.

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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.

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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.

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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.

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Home Health Care

MARCH 21, 2023

While many providers in the larger home-based care space have struggled with collecting data, MD at Home considers data utilization one of the pillars of its success. The Chicago-based at-home primary care provider has a proven track record of leveraging clinical data and enhancing the lives of its patients.

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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.

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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.

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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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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.,

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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.

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Home Health Care

NOVEMBER 13, 2024

On Wednesday, it touted its success in the Accountable Care Organization (ACO) “REACH” Model, the successor to the The Global and Professional Direct Contracting Models (GPDC). Based in Troy, Michigan, HarmonyCares is a home-based primary care provider.

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