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About Lisa Remington

Lisa Remington is president of the Remington Health Strategy Group and publisher of the Remington Report magazine and has worked with more than 6,000 organizations in both a consultancy role and 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.

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 Payments2021-02-14T09:32:09-05:00

To The Point

FREE PUBLISHER'S MESSAGE As we turn the corner into 2021, healthcare leaders should be asking themselves four key questions to address greater sustainability.

To The Point2021-01-02T19:10:35-05:00

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

SUBSCRIBER CONTENT 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?2021-01-02T18:43:27-05:00

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

SUBSCRIBER CONTENT 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?2021-01-02T18:43:39-05:00

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

SUBSCRIBER CONTENT 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?2021-01-02T18:43:52-05:00

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

SUBSCRIBER CONTENT 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?2021-01-02T18:43:59-05:00

2021 Regional Outcomes for Medicare Require Full Financial Risk

SUBSCRIBER CONTENT 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 Risk2021-01-02T18:44:15-05:00

2021 Healthcare Outcomes Go Statewide and Regional

SUBSCRIBER CONTENT 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 Regional2021-01-02T18:44:27-05:00

To The Point

There are seven advancing care models supporting care in the home. Each of these models has the commonalities of technology, new reimbursement models, chronic care management, and greater movement toward value-based payments.

To The Point2021-01-02T16:49:59-05:00

Physicians Are Expanding Care into the Home

SUBSCRIBER CONTENT 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 Home2021-01-02T16:50:07-05:00

Payers Expanding Care at Home Models

SUBSCRIBER CONTENT 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 Models2021-01-02T16:50:19-05:00

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

SUBSCRIBER CONTENT 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 Beneficiaries2021-01-02T16:50:54-05:00

Expanded Access for Rural Communities and Transformation of Care

SUBSCRIBER CONTENT 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 Care2021-01-02T16:51:03-05:00

To The Point

During COVID-19, home-based care created a new sense of urgency which will continue beyond the pandemic. Find out why.

To The Point2020-11-05T13:11:51-05:00

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

SUBSCRIBER CONTENT 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 Home2020-11-05T13:12:26-05:00

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 Conditions2020-09-23T15:41:24-04:00

To The Point

As healthcare providers await more news about expanding telehealth regulations, home care, hospice, palliative care, and community-based providers are in a unique position to further their value to physicians, ACOs, health systems, insurers, and Medicaid and Medicare.

To The Point2020-11-05T13:12:46-05:00

Telehealth’s Outlook Beyond COVID-19

SUBSCRIBER CONTENT 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-192020-09-06T13:51:13-04:00

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

SUBSCRIBER CONTENT 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’ Homes2020-09-06T13:51:31-04:00

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

SUBSCRIBER CONTENT 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 Providers2020-09-06T13:51:41-04:00

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 Doubled2020-09-23T15:43:00-04:00

COVID-19: Broadening Telehealth Solutions

SUBSCRIBER CONTENT 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 Solutions2020-09-06T14:08:07-04:00

To The Point

COVID-19: The solutions home care, palliative care, hospice and DME are providing to demonstrate value.

To The Point2020-07-15T15:51:25-04:00

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 20212020-05-27T12:52:04-04:00

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 Hospice2020-10-14T13:17:46-04:00

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 Department2020-05-27T12:51:45-04:00

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 Risk2020-05-27T12:42:29-04:00

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 News2020-05-27T12:43:06-04:00

Healthcare Outlook 2020: Five Reasons Why Post-Acute Models Will Be Redefined

SUBSCRIBER CONTENT Market readiness is the theme for this year’s outlook. The talk of transformation has traction. Too many disruptors are in the healthcare market pushing out traditional models of care. Until you see the information gathered in one document, it may seem transformation is still a while away. Our study of trends and market signals indicate otherwise.

Healthcare Outlook 2020: Five Reasons Why Post-Acute Models Will Be Redefined2020-09-06T14:15:18-04:00

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 Laws2021-01-05T13:29:10-05:00

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 Domains2021-01-05T13:29:10-05:00

Pre-Hospice Home-Based Transition Program

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 Program2020-09-06T14:00:13-04:00

Contact Info

30100 Town Center Drive, Suite 421
Laguna Niguel, CA 92677

Phone: 800.247.4781

Fax: 949.715.1797

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