FutureFocus May 9, 2018: Revising Conditions Of Participation To Increase Data Sharing

Lisa Remington

In this week’s FutureFocus, is the announcement of CMS discussing a Request for Information (RFI) for feedback on solutions to achieve better data sharing between providers. A similar RFI was announced recently in FY 2019 PPS updates. There is a possibility of revising Conditions of Participations. Another merger between three home care companies will form one of the largest providers of home-based care in the U.S. In another announcement, Humana and Landmark announce an in-home care program for chronic conditions.

Lisa Remington, President, Remington Health Strategy Group

Three companies merge to create one of the largest provider of home-based care. In another announcement, payor Humana and Landmark develop a chronic care model for Medicare Advantage Members.

Great Lakes Caring, National Home Health Care, and Jordan Health Services Merge to Become Largest Providers of Home-Based Care  

Great Lakes Caring, National Home Health Care, and Jordan Health Services announced a merger that will strategically position the newly combined company as one of the nation’s largest providers of home-based care. The new company brings together three market leaders, creating a comprehensive care continuum of personal care, skilled home health, and hospice care.

The newly combined company will serve over 63,000 patients and their families on a daily basis, employing over 31,000 caregivers across 15 states in 221 locations. The company will retain corporate headquarters in Michigan, Connecticut and Texas, and operate in service lines. G. Scott Herman, CEO of National Home Health Care, has been named Enterprise CEO; Adam Nielsen, CEO of Great Lakes Caring, has been named CEO of Home Health and Hospice; and Jeffrey Fisher, CEO of Jordan Health Services, will lead the company’s continued acquisition efforts as Chief Development Officer.

The combined assets of Great Lakes Caring, National Home Health, and Jordan Health Services will be leveraged to create one of the most technologically advanced platforms in the country, significantly improving clinical outcomes and enhancing the patient experience. The company’s scale and geographic reach will provide security, mobility, and career opportunities for more than 31,000 employees and caregivers. Over the course of the next few years, the company will continue to roll out continuum service offerings including personal care, skilled home healthcare, and hospice care throughout existing and new geographies.


Humana and Landmark Announce In-Home Care Program For Humana Medicare Advantage Members With Chronic Conditions

Humana, Inc.  is teaming up with home-based medical care company Landmark to offer an in-home medical, behavioral and palliative care coordination program for Humana Medicare Advantage members with multiple chronic conditions in seven states. The program gives patients the opportunity to receive quality care in the privacy and comfort of a residential setting.

Landmark physicians and advanced practice providers (Complexivists®) utilize an integrated care model to treat the whole patient. The company also employs pharmacists, nurses, social workers, behavioral health clinicians, and dieticians to provide care management in support of, and in coordination with, the patient’s existing primary care physician - Landmark does not replace patients’ regular doctors, but augments their care plans in the home.

The program will be available to eligible Humana Medicare Advantage HMO and PPO members with complex health needs - due to multiple chronic conditions such as diabetes, coronary heart disease, cancer, and end-stage renal disease – who live in select counties in Washington (starting in May); Kansas and Missouri (starting in June); Kentucky and Ohio (starting in July); and Louisiana and Mississippi (starting in August).

Available services will include urgent house-call visits 24 hours a day, seven days a week; maintenance visits to proactively monitor conditions; post-hospital discharge visits to assist with transition back into the home; and continuity-of-care in coordination with the patient’s primary care physician or specialist.

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