FutureFocus May 23, 2018: Medicare Advantage Plans and PAC Providers - New Insights
In this week’s FutureFocus, we continue our discussions on Medicare Advantage Plans and new insights for PAC providers and patients. Our first article explores the differences in Medicare Advantage plans and fee-for-service and why Medicare Advantage plans should coordinate with PAC providers. Attorney Elizabeth Hogue explores the new Medicare Advantage Plans allowable supplemental benefits for home-based palliative care, in-home support services and caregivers. In our Washington Report, we look at the next overhaul of the private sector care program for the VA.
Lisa Remington, President, Remington Health Strategy Group
In This Issue
Why Should Medicare Advantage Plans Coordinate With PAC Providers
By: Lisa Remington, President, Remington Health Strategy Group, and Publisher, The Remington Report
Medicare Advantage enrollment is projected to grow by 9% to 20.4 million in 2018. The CMS estimated that more than one-third of all Medicare enrollees, or 34%, will be in a Medicare Advantage plan in 2018.
Impact of Medicare Advantage Plans to Home Care Companies and Patients
By: Elizabeth E. Hogue, Attorney
On April 27, 2018, the Medicare Drug and Health Plan Contract Administration Group of the Centers for Medicare and Medicaid Services (CMS) issued a memo to Medicare Advantage Organizations regarding reinterpretation of the definition of "primarily health related" for the purposes of providing supplemental benefits. The guidance in this memo will be incorporated into the Medicare Managed Care Manual, Chapter 4.
Washington Report: VA’s Private-Sector Care Program - Major Overhaul, Expansion
By: Ronald M. Schwartz, Writer, The Remington Report
A major expansion of community care coverage for veterans outside the VA system would happen under pending legislation that cleared the House last week and could pass the Senate and be signed into law by Memorial Day or shortly thereafter. Under the bill—its short title is the VA Mission Act of 2018--the Veterans Community Care Program (VCCP) provision, Section 101, would replace the troubled Veterans Choice Program (VCP) a year from enactment.
8 New Growth Opportunities in Community-Based Care
- Trends, market dynamics, and policy supporting Community-Based Healthcare.
- Technology to manage risk in chronic care.
- Integration of mental, social and physical health models.
- Patient engagement strategies.
- Advancing population health models in community-based healthcare.
- Primary Care and Community-Based Healthcare.
- Re-engineering the process: pre-acute care.
- Data, analytics and actionable intelligence.