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About Lisa Remington

Lisa Remington is president and publisher of the Remington Report magazine and President of Remington’s Home Care Leadership Think Tank. She has worked with more than 10,000 organizations in both a consultancy role and an educator. Lisa monitors the complex key trends and forces of change to develop a correct strategic approach to de-risk decision-making and create sustainable futures across the healthcare continuum.

Message From Lisa Remington

May/June 2024 Issue
FREE CONTENT The home care industry lies at the center of chronic care management. It holds the key to reducing the overall cost of care, minimizing readmissions, emergency department visits, and offering value propositions that align with partnerships involving hospitals, health systems, ACOs, payers, and Medicare Advantage Plans.

Message From Lisa Remington2024-04-29T13:35:52-04:00

Assessing the Effectiveness of Chronic Care Management Services

May/June 2024 Issue
SUBSCRIBER CONTENT Are you aware that both Medicare and Medicare Advantage beneficiaries are eligible for the Chronic Care Management program? It presents a remarkable opportunity to offer comprehensive care to those grappling with multiple chronic conditions. However, despite the widespread prevalence of chronic illnesses among Medicare beneficiaries, only a fraction is using the program. Which physicians are leveraging the program most frequently? What are the challenges?

Assessing the Effectiveness of Chronic Care Management Services2024-04-29T13:37:15-04:00

Tackling Alzheimer’s and Dementia Readmissions and ED Visits

May/June 2024 Issue
SUBSCRIBER CONTENT In 2024, approximately 2.4 million individuals with Alzheimer’s dementia are aged 85 or above. Research indicates that patients who receive home health services following hospital discharge have a higher chance of staying in their community for at least 30 days post-discharge, with more significant advantages observed with extended durations of home health care.

Tackling Alzheimer’s and Dementia Readmissions and ED Visits2024-04-29T13:38:03-04:00

Message From Lisa Remington

March/April 2024 Issue
FREE CONTENT The surge in collaborations between home care providers and referral sources is creating fresh avenues for growth and fostering opportunities for deeper relationship-building. Fostering relationships involves cultivating meaningful connections and collaboration. The increase in referral partnerships between home care and referral partners can be attributed to seven key factors.

Message From Lisa Remington2024-04-27T15:16:50-04:00

ACO MarketScan: Payments Shifting Care at Home Volume

March/April 2024 Issue
SUBSCRIBER CONTENT ACO MarketScan: What makes it crucial for home care providers to establish connections with ACOs? With more than half of Medicare beneficiaries enrolled in accountable care organizations, aiming for 100%, home care providers must craft compelling value propositions and engagement strategies to foster partnerships.

ACO MarketScan: Payments Shifting Care at Home Volume2024-04-27T15:16:56-04:00

Hospital MarketScan: Hospital Outcome and Quality Measures

March/April 2024 Issue
SUBSCRIBER CONTENT Hospital MarketScan: A thorough grasp of hospital quality and outcomes proves highly advantageous for home care providers. Establishing and fortifying referral partnerships with hospitals and health systems necessitates a more comprehensive understanding of hospital outcomes and quality measures to enhance relationship building efforts.

Hospital MarketScan: Hospital Outcome and Quality Measures2024-04-27T15:17:03-04:00

Physician MarketScan: Specialists Expanding Care in the Home

March/April 2024 Issue
SUBSCRIBER CONTENT Physician MarketScan: As CMS concentrates on integrating more specialists into value-based care, prioritizing engagement with home care providers emerges as a key strategic imperative. These engagement strategies center around areas such as readmissions, care transitions, longitudinal care, value-based payments, bundled payments, and the expansion of specialty care within a home setting.

Physician MarketScan: Specialists Expanding Care in the Home2024-04-27T15:17:12-04:00

Message From Lisa Remington

January/February 2024 Issue
FREE CONTENT In the January/February issue of The Remington Report, we answer two critical questions. What are the most critical areas of change in 2024? How can your organization better anticipate the future, identify opportunities, and confidently grow? Our four environmental scans will get you ready for 2024.

Message From Lisa Remington2024-03-02T16:00:11-05:00

Payments Shifting Care at Home Volume

January/February 2024 Issue
SUBSCRIBER CONTENT ENVIRONMENTAL SCAN: Payments are shifting the site of care, accelerating the growth of care at home. The movement of ortho and cardiac payments from impatient to outpatient is related to increased volumes of care in the home. We provide forecasts and the impact to home care organizations.

Payments Shifting Care at Home Volume2024-03-02T16:00:05-05:00

Team-Based Care – A 2024 Strategy

January/February 2024 Issue
SUBSCRIBER CONTENT ENVIRONMENTAL SCAN: Team-based and multidisciplinary teams underpin the success of value-based care models and hospitals-at-home. Cross-collaborative teams in specialty clinical programs are making their way between hospitals and home care organizations. This is the next level of clinical integration and for stakeholders to better understand home care’s value.

Team-Based Care – A 2024 Strategy2024-03-02T15:59:57-05:00

Synergistic Referral Partnerships Gain Traction

January/February 2024 Issue
SUBSCRIBER CONTENT ENVIRONMENTAL SCAN: Referrals are more dependent on home care as partners for financial, quality, and patient experience measures. Shifting payments are changing traditional views of managing a patient’s care journey. Each segment of healthcare will contribute to a synergistic success level. No organization can do it alone.

Synergistic Referral Partnerships Gain Traction2024-03-02T15:59:50-05:00

Patient Engagement Strategies for High-Need, High-Cost Patients

November/December 2023 Issue
SUBSCRIBER CONTENT It has become a national priority to understand the needs of high-need, high-cost patients. In this article, we hear the voices of patients and how to prevent ED visits and readmissions.

Patient Engagement Strategies for High-Need, High-Cost Patients2023-12-31T11:22:35-05:00

Patient Engagement Coaching: A Strategy for Patients Living with Chronic Conditions

November/December 2023 Issue
SUBSCRIBER CONTENT Coaching interventions have been widely touted as a potential way to prevent chronic illness and to help patients better self-manage their chronic illnesses. Coaching draws from a range of strategies to tailor its response to the dynamic situation of patients and their families.

Patient Engagement Coaching: A Strategy for Patients Living with Chronic Conditions2023-12-31T11:23:15-05:00

5 Ways High-Functioning Team-Based Care Reduces Clinician Burnout

Fostering effective team-based care improves both the patient’s and the team’s experience of care delivery. In this article, we discuss the two different approaches to team-based care, the five core principles, and how to reduce clinician burnout.

5 Ways High-Functioning Team-Based Care Reduces Clinician Burnout2023-09-19T11:42:32-04:00

Message From Lisa Remington

September/October 2023 Issue
FREE CONTENT In the September/October issue of The Remington Report, we capture changes occurring across the care continuum. Healthcare policy, communications, and regulations are working at un-siloing care delivery amongst providers. We are at the tip of the iceberg of better managing a patient’s entire care journey.

Message From Lisa Remington2023-10-27T16:13:09-04:00

Message From Lisa Remington

July/August 2023 Issue
FREE CONTENT In the July/August issue of The Remington Report, we report on the many recently announced changes that will impact Medicare, Medicaid, Medicaid Managed Care, and primary care’s future.

Message From Lisa Remington2023-08-29T11:23:43-04:00

Message From Lisa Remington

May/June 2023 Issue
FREE CONTENT In the May/June issue of The Remington Report, we provide a special industry report for home-based care providers to identify the gaps in care delivery.

Message From Lisa Remington2023-08-26T17:50:36-04:00

Message From Lisa Remington

March/April 2023 Issue
FREE CONTENT In the March/April issue of The Remington Report, we report on the trends, transformation, and opportunities impacting ACOs.

Message From Lisa Remington2023-08-26T17:50:44-04:00

16 Key ACO Trends to Know in 2023

March/April 2023 Issue
SUBSCRIBER CONTENT The importance of key ACO trends is to better understand the plan to decrease fee-for-service and increase value-based payments. Growth through three initiatives will be the foundation to reach CMS’s goal of 100% of Medicare into an accountable care program.

16 Key ACO Trends to Know in 20232023-05-21T12:08:04-04:00

Message From Lisa Remington

January/February 2023 Issue
FREE CONTENT In the January/February issue of The Remington Report, we unlock the big wave of changes ahead for home-based care in 2023.

Message From Lisa Remington2023-08-26T17:50:54-04:00

Do You Know Which Principal Diagnosis Has the Highest Rate of 30-Day Readmissions?

As a home-based care provider, all referral partners have the same goal – how to reduce readmissions and the cost. It’s important to continue to hone in on data that can help your organization better understand your role in preventing readmissions and reducing the cost of care.

Do You Know Which Principal Diagnosis Has the Highest Rate of 30-Day Readmissions?2023-04-12T16:03:49-04:00

Clinical Service Lines that Reduce the Cost of the Top 5 Medical Conditions

New information will help your organization better align clinical services to reduce the cost of the highest medical conditions and their expenditures. The data can be used in conversations with various payer sources to align your organization’s services to reduce the cost of care and readmissions.

Clinical Service Lines that Reduce the Cost of the Top 5 Medical Conditions2023-10-25T14:25:02-04:00

Message From Lisa Remington

November-December 2022 Issue
FREE CONTENT In the November/December issue of The Remington Report, we tackle topics impacting team-based care, care transitions, case studies, and workforce improvement.

Message From Lisa Remington2024-04-15T09:48:00-04:00

Pre-Hospice Home-Based Transition Program

November-December 2022 Issue
SUBSCRIBER CONTENT Sharp HealthCare pre-hospice program called Transitions, is designed to give elderly patients the care they want at home and keep them out of the hospital.

Pre-Hospice Home-Based Transition Program2024-04-15T09:36:14-04:00

To the Point

September/October 2022 Issue
FREE CONTENT How are the changing financial, economic, and market conditions impacting your decisions about your workforce? A major change is coming that will determine your future staffing needs.

To the Point2023-08-26T17:52:30-04:00

Workforce: How Will Medicare Fee-For-Service Trends Change the Way You Think About Future Staffing Needs?

September/October 2022 Issue
SUBSCRIBER CONTENT With all the evolving changes occurring in healthcare, you may have missed CMS’s initiatives aligning value-based arrangements across traditional Medicare programs. We discuss the eight trends to help your organization think about the impact on your labor force and referral partners.

Workforce: How Will Medicare Fee-For-Service Trends Change the Way You Think About Future Staffing Needs?2023-04-12T16:03:54-04:00

To the Point

July/August 2022 Issue
FREE CONTENT Payers are gaining a foothold in the care-at-home market. Five critical trends support the rapid advancement. The challenges and opportunities are discussed in this issue of The Remington Report.

To the Point2023-08-26T17:52:23-04:00

Trend #1: Payers Are Accelerating Into the Home-Based Care Market

July/August 2022 Issue
SUBSCRIBER CONTENT How should your organization be responding to payers expanding their position in home-based care? What key trends support this advancement? What are key strategies to partner and align with payers? In this article, we cover the key market changes, the disruption, and growth opportunities for home-based care organizations.

Trend #1: Payers Are Accelerating Into the Home-Based Care Market2023-04-12T16:03:57-04:00

Trend #2: Payers Expanding Home-Based Care Models Nationally

July/August 2022 Issue
SUBSCRIBER CONTENT Payers are deepening their care delivery models focused on the home. In the past, we may have thought of payers in traditional roles as a medical-cost manager. Today, they are acquiring home-based care organizations to control readmissions, cost, and outcomes.

Trend #2: Payers Expanding Home-Based Care Models Nationally2023-04-12T16:03:58-04:00

Trend #3: Highest Chronic Care Conditions in Medicare, Medicare Advantage Plans, And Special Needs Plans

July/August 2022 Issue
SUBSCRIBER CONTENT Different payers such as Medicare, Medicare Advantage, and Special Needs Plans are focusing on the highest chronic care conditions to reduce the cost of care. In this article, is the data by payer and a discussion about how organizations can support a better aligned financial and quality partnerships.

Trend #3: Highest Chronic Care Conditions in Medicare, Medicare Advantage Plans, And Special Needs Plans2023-04-12T16:03:58-04:00

Trend #4: Growth in Medicare Advantage Plans 2022 Signals Future in Managed Care Contracting

July/August 2022 Issue
SUBSCRIBER CONTENT Medicare Advantage enrollment is growing at a fast pace. The number of plans is expanding geographically, and payers will continue to invest in the Medicare Advantage market. In this article, we dig deep into the growth of Medicare Advantage by enrollment, states, and the future. The market signal is strong to put Medicare Advantage contracting as a high priority.

Trend #4: Growth in Medicare Advantage Plans 2022 Signals Future in Managed Care Contracting2023-04-12T16:03:58-04:00

Trend #5: Payer and Home-Based Provider Partnering to Reduce the Cost of Care

July/August 2022 Issue
SUBSCRIBER CONTENT Important to all payers is the value your organization brings to reducing the cost of care. Available data can gear-up your partnership value quickly. In this article, we sliced and diced data to provide an overall macro/micro picture of how to reduce the cost of care.

Trend #5: Payer and Home-Based Provider Partnering to Reduce the Cost of Care2023-04-12T16:03:58-04:00

To the Point

May/June 2022 Issue
FREE CONTENT In this issue of the Remington Report, we take a deep dive into the post-acute transfer policy, the impact to your organization, what it means to hospitals, and how to drive greater value as a hospital partner.

To the Point2023-08-26T17:52:15-04:00

To the Point

March/April 2022 Issue
FREE CONTENT In its 10th annual round of penalties, Medicare is reducing its payments to 2,499 hospitals, or 47% of all facilities for readmissions.

To the Point2023-08-26T17:52:09-04:00

Is Socioeconomics a Main Influencer of Readmissions?

March/April 2022 Issue
SUBSCRIBER CONTENT Researchers examined the common reasons why some hospitals have more readmissions treating a disproportionate share of patients with low incomes, poor health and other negative circumstances.

Is Socioeconomics a Main Influencer of Readmissions?2023-04-12T16:04:04-04:00

Discharge Planning Patterns: Care Transitions and Readmissions

March/April 2022 Issue
FREE CONTENT A recent study examined the patterns of Medicare beneficiaries post-acute care transitions among assisted living residents and their outcomes in the first 30 and 60 days after hospital discharge.

Discharge Planning Patterns: Care Transitions and Readmissions2023-04-12T16:04:06-04:00

To the Point

January/February 2022 Issue
FREE CONTENT As the care-at-home industry continues to grow and expand, there are both opportunities and challenges in the future.

To the Point2023-08-26T17:52:01-04:00

To The Point

November-December 2021 Issue
FREE PUBLISHER'S MESSAGE In this issue of The Remington Report, we will provide actionable insights to guide your organization forward.

To The Point2023-08-26T17:51:19-04:00

To The Point

September/October 2021 Issue
FREE PUBLISHER'S MESSAGE In this issue of The Remington Report, we will guide your business readiness for adoption of new transformations, look at opportunity identification to create new revenue, and provide ways to achieve better outcomes.

To The Point2023-08-26T17:51:28-04:00

Five Payer Strategies Ramping-up Home Care Usage

July/August 2021 Issue
SUBSCRIBER CONTENT Payers are targeting their member populations that will benefit the most from at-home care. The center of their home health offerings is focused on high-cost patients, palliative care, diabetes, home care visits, telehealth, and at-home testing.

Five Payer Strategies Ramping-up Home Care Usage2023-04-12T16:04:15-04:00

The Care at Home Market Shake-Up

May/June 2021 Issue
Payers, health systems, Private Equity firms, and SPAC’s acquisition of care at home companies are quickly changing market dynamics, and signaling change is ahead. This is a must-read to understand trends and insights reshaping the future.

The Care at Home Market Shake-Up2023-04-12T16:04:17-04:00

Market Signals Broaden Continuum-of-Care Services

March/April 2021 Issue
Expanding continuum of care services is an important strategy for future market positioning. We explore how providers, payers, and physicians are broadening services to expand partnership referrals, create innovation, and ensure sustainability.

Market Signals Broaden Continuum-of-Care Services2023-04-12T16:04:19-04:00

Does Your Organization Have the Right Clinical Service Lines to Reduce the Cost of the Top Five Medical Conditions and Expenditures?

March/April 2021 Issue
New information will help your organization better align clinical services to reduce the cost of the highest medical conditions and their expenditures. The data can be used in conversations with various payer sources to align your organization’s services to reduce the cost of care and readmissions.

Does Your Organization Have the Right Clinical Service Lines to Reduce the Cost of the Top Five Medical Conditions and Expenditures?2023-04-12T16:04:20-04:00

OIG’s Audit: Home Health Telehealth Payments

On a temporary basis, CMS issued blanket Section 1135 to healthcare professionals in response to the COVID-19 public health emergency (PHE). But now the OIG wants to be sure the rules are being followed. This Remington Report special report dives into the subject of home health telehealth payments.

OIG’s Audit: Home Health Telehealth Payments2023-04-12T16:04:21-04:00

Should Your Organization Be Preparing for Greater Value-Based Payments?

January/February 2021 Issue
Beginning in 2021, several value-based payment models will begin the shift from fee-for-service to value-based. Earmark this as the transformation of payment reform for care at home providers and how they will be paid in the future.

Should Your Organization Be Preparing for Greater Value-Based Payments?2023-04-12T16:04:22-04:00

How is Your Organization Prepared to Participate in New Non-Traditional Care-at-Home Models?

January/February 2021 Issue
New choices to receive care at home centers on patients receiving acute level care in the home. Non-traditional care at home models is expanding into a new era. The twist to non-traditional programs is to keep care at home leadership’s eyes wide open about the impact to their organizations. Waivers are changing rules, policies have changed, and the role of who can care for patients in the home is transforming models.

How is Your Organization Prepared to Participate in New Non-Traditional Care-at-Home Models?2023-04-12T16:04:22-04:00

How is Technology Expanding Care at Home and How Does it Effect Your Organization’s Future?

January/February 2021 Issue
The invisible technology boundaries expand the rules of who can offer care in the home, how they will be paid, and it creates a less restrictive policy environment to deliver care at home. The opportunity to reshape care delivery and create a more efficient and cost-effective healthcare system is achievable because of the acceleration and adoption of technology.

How is Technology Expanding Care at Home and How Does it Effect Your Organization’s Future?2023-04-12T16:04:22-04:00

How is Your Organization Rethinking Strategic Positioning to Offer Continuum-of-Care Services from Pre- And Post-Discharge to End-of-Life?

January/February 2021 Issue
The question for leadership is how do you want to position your organization? As an integrator? Or as an aggregator? For care at home providers, the goal is to create a post-acute continuum model as patients transition from one care setting to another whether that be in-home personal care services, skilled home health, palliative care, or hospice.

How is Your Organization Rethinking Strategic Positioning to Offer Continuum-of-Care Services from Pre- And Post-Discharge to End-of-Life?2023-04-12T16:04:23-04:00

2021 Regional Outcomes for Medicare Require Full Financial Risk

January/February 2021 Issue
Geographic direct-contracting model (GEO) is the latest CMS Center for Medicare and Medicaid Innovation (CMMI) model which allows Direct Contracting Entities to accept full financial risk for all traditional Medicare enrollees in their region. Three options enhance Medicare benefits and provide waivers for care in the home.

2021 Regional Outcomes for Medicare Require Full Financial Risk2023-04-12T16:04:23-04:00

2021 Healthcare Outcomes Go Statewide and Regional

January/February 2021 Issue
A growing number of initiatives are expanding to address social determinants of health. Payers, health systems, community-based organizations, and government entities are partnering together to create statewide efforts to improve community health and social care.

2021 Healthcare Outcomes Go Statewide and Regional2023-04-12T16:04:23-04:00

Physicians are Expanding Care Into the Home

November-December 2020 Issue
Home-based medical care models are shaking-up the $260 billion primary care market. Three physician models, new reimbursement models, telehealth, and chronic care management are key drivers.

Physicians are Expanding Care Into the Home2023-04-12T16:04:24-04:00

Payers Expanding Care at Home Models

November-December 2020 Issue
Building home care capacity will give plans more flexibility to meet patients on their own terms and could improve outcomes. Learn what is changing models of care in the home.

Payers Expanding Care at Home Models2023-04-12T16:04:24-04:00

New Care Models Allow Payers to Take on Risk for Dual-Eligible Beneficiaries

November-December 2020 Issue
CMS' innovation center (CMMI) is about to roll out a new model allowing insurance plans to take on financial risk for patients enrolled in both Medicare and Medicaid. How will this affect payers? What other new models can you expect in the future?

New Care Models Allow Payers to Take on Risk for Dual-Eligible Beneficiaries2023-04-12T16:04:25-04:00

Expanded Access for Rural Communities and Transformation of Care

November-December 2020 Issue
The Community Health Access and Rural Transformation (CHART) Model expands telehealth services, links residents to non-local healthcare providers, and provides more than $8.7 million in grant funding. What are the new opportunities for your organization?

Expanded Access for Rural Communities and Transformation of Care2023-04-12T16:04:25-04:00

The Vulnerabilities of COVID-19 Expand Insurers Capabilities In the Home

September/October 2020 Issue
Insurers' strategies to provide greater services in the home are moving rapidly. Changing models have insurers partnering-up with primary care physicians, telehealth, and pharmacies to deliver care in the home. We provide insights to insurers' reactions post COVID-19 and beyond.

The Vulnerabilities of COVID-19 Expand Insurers Capabilities In the Home2023-04-12T16:04:27-04:00

Strategy Insight: How To Align Financial and Clinical Incentives with Payers and the Most Costliest Medical Conditions

In this article, we take a look at data reflecting the costliest medical conditions by payers. This becomes an important strategy as payers begin to move more value-based care contracting into the home care space and look to treating higher acuity patients in the home.

Strategy Insight: How To Align Financial and Clinical Incentives with Payers and the Most Costliest Medical Conditions2023-04-12T16:04:28-04:00

Telehealth’s Outlook Beyond COVID-19

July/August 2020 Issue
Telehealth is healthcare’s hottest topic. How should providers support and drive growth? What new opportunities will improve outcomes? How will telehealth reshape care delivery?

Telehealth’s Outlook Beyond COVID-192023-04-12T16:04:29-04:00

COVID-19 Case Study: Intermountain Healthcare’s Hospital-Level Care In Patients’ Homes

July/August 2020 Issue
Intermountain at Home’s hospital-level care in patient’s homes supports their health system in the event of a surge of COVID-19 patients. Their models include home-based post-hospital care, palliative, and end-of-life care as well as medical equipment maintenance.

COVID-19 Case Study: Intermountain Healthcare’s Hospital-Level Care In Patients’ Homes2023-04-12T16:04:30-04:00

COVID-19 Medicare Emergency Waivers For Discharge Planning And Home Care Providers

July/August 2020 Issue
CMS has provided blanket waivers with a retroactive effective date of March 1, 2020 through the end of the emergency declaration to help providers during COVID-19. We gathered the waivers for discharge planning, in-home care providers, and other post-acute care settings.

COVID-19 Medicare Emergency Waivers For Discharge Planning And Home Care Providers2023-04-12T16:04:30-04:00

Payers: 2020 Supplemental Benefits for Chronic Conditions Doubled

In 2020, Medicare Advantage (MA) plans have doubled the number of condition-specific supplemental benefits from approximately 820 to 1,850. However, the new Special Supplemental Benefits for the Chronically Ill (SBBCI) for 2020 didn’t fare as well.

Payers: 2020 Supplemental Benefits for Chronic Conditions Doubled2023-04-12T16:04:31-04:00

COVID-19: Broadening Telehealth Solutions

May/June 2020 Issue
MaineHealth Care at Home began using telehealth in 2001. In our Interview with Donna DeBlois, RN, BSW, MSB, MBA, AHCA, President of MaineHealth Care at Home, we learn how her organization is expanding telehealth to a broader patient population under COVID-19.

COVID-19: Broadening Telehealth Solutions2023-04-12T16:04:34-04:00

Payment Recommendations for 2021

In its March 2020 report to the Congress, MedPAC makes payment policy recommendations for provider sectors in fee-for-service (FFS).

Payment Recommendations for 20212023-04-12T16:04:35-04:00

Report: Medicare’s Hospital Post-Acute Care Transfer Policy to Hospice

The Bipartisan Act (BBA) of 2018 Act updated the hospital transfer policy for early discharges to hospice care. The law required that, beginning in FY 2019, discharges to hospice care would qualify as a post-acute care transfer and be subject to payment adjustments.

Report: Medicare’s Hospital Post-Acute Care Transfer Policy to Hospice2023-04-12T16:04:35-04:00

Medicare’s Option to Avoid the Emergency Department

The Center for Medicare and Medicaid Innovation’s Emergency Triage, Treat, and Transport (ET3) Model is designed to test expanded care destination alternatives to the ED for Medicare beneficiaries who call 911.

Medicare’s Option to Avoid the Emergency Department2023-04-12T16:04:35-04:00

2020 ACOs Taking on More Risk

The number of ACOs taking on risk for cost increases grew from 93 ACOs at the start of 2019 to 192 at the start of 2020.

2020 ACOs Taking on More Risk2023-04-12T16:04:38-04:00

Post-Acute Business Industry News

Post-acute ACO adds 200 new long-term care facilities, new appointments, home medical equipment acquisitions, mergers and acquisitions, and more.

Post-Acute Business Industry News2023-04-12T16:04:38-04:00

16 Things To Know About Stark Laws

The Stark Law is a set of U.S. federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient.

16 Things To Know About Stark Laws2023-04-12T16:04:47-04:00

IMPACT Act – Quality Measure Domains

Four healthcare settings must report standardized data using the assessment instruments on at least five of the following eight quality measure domains.

IMPACT Act – Quality Measure Domains2023-04-12T16:04:47-04:00

Montefiore Health System’s Care Management Program

SUBSCRIBER CONTENT Located in the Bronx and Hudson Valley, New York, Montefiore Health System (MHS) serves one of the poorest and most disproportionately disease-burdened counties in the nation with nearly 80% of the payer mix from Medicare and Medicaid.

Montefiore Health System’s Care Management Program2023-04-12T16:04:51-04:00

Medicare Population Characteristics

In 2011, two-thirds of beneficiaries had three or more chronic conditions, more than one quarter of all beneficiaries reported being in fair or poor health.

Medicare Population Characteristics2023-04-12T16:04:51-04:00

Study: Hospice Top 13 Diagnosis

Cancer accounts for less than one-half of all hospice admissions. Here is a list of the top 13 diagnoses for admissions to hospice care.

Study: Hospice Top 13 Diagnosis2023-04-12T16:04:52-04:00

Home-Based Palliative Care Models

SUBSCRIBER CONTENT Palliative care focuses on relieving patients’ stress, pain and other symptoms as their health declines, and it helps them maintain their quality of life.

Home-Based Palliative Care Models2023-04-12T16:04:57-04:00

Hospice Quality of Care Varies

In a large cohort study, hospice visits in the last 2 days of life by professional staff varied by race, hospice program, and geographic region.

Hospice Quality of Care Varies2023-04-12T16:04:58-04:00

Palliative Care Oncology Guidelines

A new guidance statement to define high-quality primary palliative care delivery in medical oncology has been developed by ASCO and AAHPM.

Palliative Care Oncology Guidelines2023-04-12T16:04:58-04:00

ACO Investment Model

The ACO Investment Model encourages new ACOs to form in rural areas and Medicare Shared Savings Program ACOs to take greater financial risk.

ACO Investment Model2023-04-12T16:04:59-04:00

Medicaid ACO Market Scan

17 states are implementing accountable care strategies in Medicaid or state employee health programs and patterns have begun to emerge.

Medicaid ACO Market Scan2023-04-12T16:04:59-04:00

A Comprehensive Care Management Model

SUBSCRIBER CONTENT FirstHealth of the Carolinas has developed an innovative care delivery model to ef­fectively manage high-risk patients with chronic disease.

A Comprehensive Care Management Model2023-04-12T16:03:59-04:00