The Number of Home Health Agencies Decline
According to the most recent MedPAC report, the number of home health agencies has been declining since 2013 after several years of substantial growth.
What are the Highest Chronic Care Conditions in Medicare, Medicare Advantage Plans, and Special Needs Plans?
Payers are developing care models specific to the level of need. There is not a one-size-fits-all care-management strategy. Payers tend to categorize medical conditions by risk.
Legal: Kickbacks to Discharge Planners and Case Managers – A Recent Case
Case managers/discharge planners continue to come under fire from fraud enforcers for violations of the federal anti-kickback statute.
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 #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 #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 #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 #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.
CEO Perspective: How Shifts in Culture and Leadership are Achieving Better Clinician Work-Life Balance
July-August 2022 Issue
SPECIAL REPORT/FREE CONTENT In this special report, we give you four creative clinician-focused solutions to achieve better clinician work-life balance: 1) cultivating a strong culture to improve retention and recruitment, 2) empowering team-based technology buy-in, 3) differentiation strategies to achieve work-life balance, and 4) adopting tools that make clinicians a priority.
ACOs Perspective About Home-Based Care
A recent study in the Journal of Managed Care was an eye-opener when it comes to better understanding home-based care from an ACO perspective.
Legal: Antitrust Guidance for HR Professionals
It’s a new environment for anti-trust enforcement, especially in the healthcare industry. Providers should pay close attention to this issue.
Study: Increasing Your Partnership Value with Hospitals
Increase your partnership value with hospitals by leveraging this study, which showed home health vs. no post-acute care was associated with reduced 30-day readmissions and better outcomes.
Action Strategy: High-Risk Readmissions: Skilled Nursing Facility to Home
Patients discharged with heart failure from a skilled-nursing facility to home face the highest risk of readmissions in the first two days after a SNF discharge.
Action Strategy: Timely Care Transitions: Planning the Next Site of Care as The Priority
Achieving a timely transition of care while simultaneously lowering the risk of readmission remains one of the toughest challenges in the quest for value-based outcomes.
Discharge Planning: How is a Post-Acute Transfer Defined?
May-June 2022 Issue
SUBSCRIBER CONTENT Hospitals are responsible for coding a Medicare beneficiary discharge bill based on the discharge plan for the patient. Here's what you need to know.
Data Point: Discharge Planning Codes Identify Where the Patient is Being Referred
May-June 2022 Issue
FREE CONTENT The discharge status code identifies where the patient is being discharged to at the end of their facility stay or transferred to such as an acute/post-acute facility.
Post-Acute Care Transfer to Home Health Reduced Readmissions
May-June 2022 Issue
SUBSCRIBER CONTENT A recent study published in the American Journal of Managed Care showed home health vs. no post-acute care was associated with reduced 30-day readmissions and better outcomes.
Post-Acute Transfer to a Home with Home Health Services
May-June 2022 Issue
SUBSCRIBER CONTENT Medicare’s IPPS post-acute care transfer policy requires hospitals to apply the correct discharge status code to claims where patients receive home health services within three days of discharge.
OIG Report: Medicare to Overpay More Than $267 Million
May-June 2022 Issue
SUBSCRIBER CONTENT This important OIG report has finding of hospitals that did not properly code post-acute transfer correctly.
Fast Facts About the Post-Acute Transfer Policy
May-June 2022 Issue
SUBSCRIBER CONTENT Fast facts about the Post-Acute Transfer Policy. Here's what you need to know at a glance.
Post-Acute Care Transfer Policy: The Overpayment for Discharges
May-June 2022 Issue
SUBSCRIBER CONTENT Medicare improperly paid acute-care hospitals $54.4 million for 18,647 claims subject to the Post-Acute Care Transfer policy.
Timely Care Transitions: Planning the Next Site of Care as The Priority
March-April 2022 Issue
SUBSCRIBER CONTENT Discharge destinations require established relationships with a network of high-quality post-acute providers, facilities and home health resources in the community.
High-Risk Readmissions: Skilled Nursing Facility to Home
March-April 2022 Issue
SUBSCRIBER CONTENT Readmission after skilled-nursing facility (SNF) discharge following heart failure hospitalization is highest during the first two days home.
DataPoint: Readmissions By Payer
March-April 2022 Issue
FREE CONTENT Data Sharing: Number of readmissions, readmission rates, and average cost of readmissions
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.
30-Day Readmissions: Managing Clinical Conditions to Prevent Readmits
March-April 2022 Issue
SUBSCRIBER CONTENT The federal government’s effort to penalize hospitals for excessive patient readmissions is ending its first decade with Medicare cutting payments to nearly half the nation’s hospitals.
Hospital Readmissions, Ages 65-74, by State
March-April 2022 Issue
FREE CONTENT Percentage of Medicare aged 66-74 enrolled in Medicare fee-for-service within 30-days of hospital discharge.
Which Chronic Conditions Managed by Home Care Services Reduce Medicare Spending?
March-April 2022 Issue
SUBSCRIBER CONTENT A recent analysis determined that Medicare fee-for-service patients who received personal care services experienced a decrease in Medicare expenditures over time.
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.
Trends and Insights to Collaborate in Real-Time With Physicians, Care Teams, Patients, and Family Members
March-April 2022 Issue
FREE CONTENT Insights, solutions, and resources to advance new ways to communicate in real-time and optimize the experience of patients, their families, and your care teams.
Medicare Advantage: 5 Care-At-Home Supplemental Benefits Skyrocket in 2022
January-February 2022 Issue
SUBSCRIBER CONTENT CMS’s reinterpretation of “primarily health-related” benefits has led to more Medicare Advantage (MA) plans offering services.
7 Trends Changing Medicare Advantage Plans In 2022
January-February 2022 Issue
SUBSCRIBER CONTENT CMS projects that nearly 30 million people are signing up for MA in 2022. Here are seven trends to watch for.
Trends and Patterns of Dementia Patient Discharges: SNF vs. Home Health
January-February 2022 Issue
SUBSCRIBER CONTENT One-third of all fee-for-service Medicare beneficiaries receiving post-acute care have a diagnosis of dementia, and more than 7 in 10 receive this care in a SNF.
The Expansion and Shift Into Community-Based Care
January-February 2022 Issue
FREE SPECIAL REPORT Seven trends supporting growth and the future, including the expansion of community-based care and expanded clinical care models to attract referrals.
Patient Discharge: Is Your Organization Asking Hospitals, SNFs, and Physicians for “Z” Codes?
January-February 2022 Issue
SUBSCRIBER CONTENT Z codes are a set of ICD-10-CM codes used to report social, economic, and environmental determinants known to affect health and health-related outcomes.
Workforce Salaries: Nurse Practitioners by State
January-February 2022 Issue
SUBSCRIBER CONTENT According to the U.S. Bureau of Labor Statistics' latest occupational employment and wage statistics survey, the mean annual wage for nurse practitioners in the U.S. is $114,510.
Workforce Salaries: Home Health and Personal Care Aides
January-February 2022 Issue
SUBSCRIBER CONTENT The median annual wage for home health and personal care aides was $27,080 in May 2020, according to the U.S. Bureau of Labor Statistics.
Innovative Care-at-Home Services to Reduce Readmissions and Expand Collaborative Partnerships
According to the American Geriatric Society, 62% of all hospital readmissions for seniors are preventable. Learn how your peers are innovating and expanding care at home services to reduce readmissions and expand collaborative partnerships.
Legal: What Can Providers Give to Patients?
Providers, including marketers, are tempted to give patients free items and services. But be careful! These activities may violate laws prohibiting providers that participate in state and federal health programs from giving free items and services to patients.
5 Ways to Improve Medical Supply Management, Reduce Costs, and Improve Outcomes
November-December 2021 Issue
FREE CONTENT Interviews with two organizations share how they tackled challenges to improve medical supply management, reduce the cost of care, and improve outcomes.
Diabetes Rehospitalizations Tied to Timing of Home Healthcare Services
November-December 2021 Issue
SUBSCRIBER CONTENT Learn the association between the timing of home healthcare start of care and 30-day rehospitalization outcomes for Medicare beneficiaries following a diabetes-related hospitalization.
Closing the Patient Communication Gap With Your Referral Partners
SUBSCRIBER CONTENT Across the board, we see from referral sources and other care providers alike that they really feel as if they’re part of the care team now instead of the end of the line where a patient goes when they get out of the hospital. Your peers share their thoughts and solutions.
Why is It Important to Understand Hospital Stays By Medical Condition?
Your partners – ACOs, payers, commercial insurers, physicians, and health systems – seek ways to reduce hospitalizations and re-hospitalizations. A critical measurement of your value is to show how your organization can reduce the cost of care, decrease re-hospitalizations, and improve outcomes.
The Obesity Crisis and Chronic Illness Attributed to 64% of Hospitalizations
The 18th annual report by Trust for America’s Health on the obesity crisis in the United States has been released. This year, special features highlight the interaction of the COVID-19 pandemic with social, economic, and environmental conditions that impact hospitalizations, social determinants of health (SDOH), and outcomes.
The Ten Most Frequent Diagnoses for Inpatient Stays
September-October 2021 Issue
FREE CONTENT In this article, we discuss the 10 most frequent principal diagnoses and their costs impacting hospital inpatient stays.
Six Digital Health Investments: What Are the Targets?
September-October 2021 Issue
SUBSCRIBER CONTENT Learn the specific six surging areas businesses are investing in that is creating a road map to healthcare’s future.
Six Smart Ways to Stay in Communication with Your Referral Sources
September-October 2021 Issue
SUBSCRIBER CONTENT Your referral partners increasingly expect robust communications to make patient transfers as seamless as possible, for both the patient and providers. They will have to make a choice. Ultimately, they will look for relationships with organizations that are easy to work with and that can deliver proven quality care. We provide insights and strategies from high-performing organizations.
What Program is the Biggest Winner for Home-Based Care?
September-October 2021 Issue
SUBSCRIBER CONTENT Read the insights about home-based primary care and how they have reduced hospitalizations, readmissions, and emergency room visits.
Five COVID Waivers the American Hospital Association is Urging CMS to Keep That Impact Your Organization
September-October 2021 Issue
SUBSCRIBER CONTENT The American Hospital Association is urging CMS to keep five COVID waivers and to not return to the old ways of doing things.
Six Ways to Identify, Increase, and Manage Referrals
September-October 2021 Issue
SUBSCRIBER CONTENT In this new normal, it’s important to understand how your referral sources work, what they are sending to you versus the competition, how to deepen relationships with these sources, and what differentiates you as a provider in the marketplace.
Seamless Care Transitions: Six Smart Ways to Stay in Communication with Your Referral Sources
SPECIAL REPORT Your referral partners increasingly expect robust communications to make patient transfers as seamless as possible, for both the patient and providers, which means you need strategies to create seamless transitions. Learn what leading home health and hospice agencies are doing in this free special report.
Four Key Trends Impacting Chronic Care Management, Physician Practices, and Payers
July-August 2021 Issue
SUBSCRIBER CONTENT Four significant trends are impacting chronic care management and the future of physician groups and payers. Moving forward this can change your referral growth and the need to expand your managed care contracts.
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.
Administering Specialty Drugs at Home
July-August 2021 Issue
SUBSCRIBER CONTENT A recent study found receiving certain forms of care at home instead of in the hospital can lower healthcare spending. Administering specialty drugs at home or in a provider’s office lowered healthcare spending by $4 billion.
Six Ways To Recharge Clinical Engagement and Work/Life Balance
July-August 2021 Issue
SUBSCRIBER CONTENT Strategies and actions to improve clinician experiences. Work/life balance is something nurses are constantly trying to achieve, and many nurses are falling short of that goal. What solutions are your peers using to combat burnout, achieve better nurse work/life balance, and improve patient care?
Nine Payer and State Medicaid Managed Care Investments in Social Determinants
July-August 2021 Issue
FREE CONTENT In this article, we take a look at social determinant insights and investments from the perspective of Medicare Advantage plans, Medicaid managed care and healthcare providers.
Participation in Payment Reform and Delivery Falling Short By Primary Care Organizations
July-August 2021 Issue
SUBSCRIBER CONTENT Primary care transformation in voluntary programs has failed to broadly engage primary care organizations. What’s causing the low participation?
3 Secrets for Accelerating Home Health and Hospice Growth and Referrals
July-August 2021 Issue
SUBSCRIBER CONTENT How to empower your team, drive efficiency of care, prevent readmissions, and gain a competitive advantage for your home health and/or hospice agency.
6 Ways to Identify, Increase, and Manage Referrals
The Remington Report presents six ways to accelerate home health and hospice growth through improved referral processes, including questions you should be asking your referral sources.
Telehealth’s Future for Medicare and Medicaid Managed Care
A new report from the GAO titled, "COVID-19 Program Flexibilities and Considerations for Their Continuation," investigates the future of telehealth
6 Ways to Recharge Clinical Engagement and Work-Life Balance
SPECIAL REPORT Work-life balance is something nurses are constantly trying to achieve, and many nurses are falling short of that goal. Here, then, are strategies and actions to improve clinician experiences.
Legal Perspective on Patient Choice
What are the fraud implications when patients' rights are violated? What is the role of physicians in patients' freedom of choice? The Remington Report gets answers from Attorney Elizabeth Hogue.
3 Secrets for Accelerating Home Health and Hospice Growth and Referrals
SPECIAL REPORT How to empower your team, drive efficiency of care, prevent readmissions, and gain a competitive advantage for your home health and/or hospice agency.
The Care at Home Market Shake-Up
May-June 2021 Issue
SUBSCRIBER CONTENT 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 Four Frustrations Your Referrals are Voicing. Is Your Organization Losing Referrals?
May-June 2021 Issue
SUBSCRIBER CONTENT Your referral sources are the lifeblood of your organization. Ultimately, they will look for relationships with organizations that are easy to work with and that can deliver proven quality care. A new research report reveals the four frustrations felt by your referral sources. A roundtable of your peers' weigh-in with solutions.
Advance Care Planning: Pilot Studies for Care at Home Providers
May-June 2021 Issue
SUBSCRIBER CONTENT The National Institute of Health advance care planning studies are focusing on the effectiveness of telehealth for patients receiving home-based palliative care and leveraging in home support services to engage patients in advance care planning. Learn more about the pilot studies supporting this research.
What Legal Parameters Establish Patient Choice?
May-June 2021 Issue
SUBSCRIBER CONTENT The right of patients to choose providers has generated considerable conflict within the provider community. In this article, learn the four key legal sources supporting patient choice and actions your organizations and patients can take to have them enforced.
Are CMS Payment Models Delayed … Or Gone Forever?
May-June 2021 Issue
SUBSCRIBER CONTENT A review of payment models under CMS’ Center for Medicare and Medicaid Innovation (CMMI) is quietly under review to decide if they will be implemented. Many of these models were popular with care at home providers. We provide insight into each of these payment models.
The Top Six Strategies to Grow and Manage Referral Partners
May-June 2021 Issue
SUBSCRIBER CONTENT The Remington Report interviews Nick Knowlton to discuss how to manage referrals, grow referrals, exchange communications with referrals, and gain a competitive advantage.
The Four Frustrations Your Referrals are Voicing: Is Your Organization Losing Referrals?
SPECIAL REPORT What referring hospitals, ACOs, and physicians want from home health, hospice, palliative care and private duty providers to make their lives easier.
5 Top Strategies to Grow and Manage Referral Partners
SPECIAL REPORT For five top strategies, we discuss actionable steps that can be taken by home health, hospice, palliative care, and private duty organizations to gain a competitive advantage.
Market Signals Broaden Continuum-of-Care Services
March-April 2021 Issue
SUBSCRIBER CONTENT 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.
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
SUBSCRIBER CONTENT 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.
How Community-Based Care is Being Redefined
March-April 2021 Issue
SUBSCRIBER CONTENT Under Andrew Molosky’s leadership, Chapters Health System has combined innovation and creative disruption to shift end-of-life care into a leading community-based population health organization.
Legal Use of Consulting Physicians/Medical Directors: Practical Issues
March-April 2021 Issue
SUBSCRIBER CONTENT Post-acute organizations need consulting physicians’ services. The OIG continues to scrutinize these relationships. What are the three things providers should know before signing agreements?
How to Accelerate Business Growth and Technology Innovation for Home Health, Hospice, Palliative Care, and Private Duty Providers
March-April 2021 Issue
SUBSCRIBER CONTENT National leaders discuss how to lean into new approaches to accelerate growth, improve performance, and address technologies that create faster reimbursement, better work-life balance for clinicians, and optimal patient outcomes.
Vital to Survival Business Intelligence: Operational, Financial, and Clinical
SPECIAL REPORT The compelling ways business intelligence drives actionable results.
4 Strategies to Dramatically Improve Productivity, Volume, and Revenue
SPECIAL REPORT National leaders discuss how to lean into new approaches to accelerate business growth, improve performance, and address technologies that create faster reimbursement, better work-life balance for clinicians, and optimal patient outcomes. They share how their organizations address four key questions.
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.
How Community-Based Care is Being Redefined
SPECIAL REPORT The shift from end-of-life care to building a continuum-based approach, plus strategies for growth, market position, and innovation revealed.
Remington’s Industry Report 2021 Leadership Perspectives
SPECIAL REPORT National leaders discuss how to lean into new approaches to accelerate business growth, improve performance, and address technologies that create faster reimbursement, better work-life balance for clinicians, and optimal patient outcomes. They share how their organizations address four key questions.
7 Models That Will Accelerate Value Based Payments in 2021
This year, 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. This white paper explains the seven value-based models impacting care-at-home providers.
Should Your Organization Be Preparing for Greater Value-Based Payments?
January-February 2021 Issue
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.
How is Your Organization Prepared to Participate in New Non-Traditional Care-at-Home Models?
January-February 2021 Issue
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 Technology Expanding Care at Home and How Does it Effect Your Organization’s Future?
January-February 2021 Issue
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 Your Organization Rethinking Strategic Positioning to Offer Continuum-of-Care Services from Pre- And Post-Discharge to End-of-Life?
January-February 2021 Issue
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.
2021 Regional Outcomes for Medicare Require Full Financial Risk
January-February 2021 Issue
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 Healthcare Outcomes Go Statewide and Regional
January-February 2021 Issue
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.
DATA POINT: 2021 Medicare Advantage Membership Growth Continues to Outpace Medicare Fee-For-Service Growth
January-February 2021 Issue
FREE DATA POINT Medicare Advantage growth continues to outpace overall Medicare FFS membership growth, according to the latest statistics.
DATA POINT: Why Does Primary Care Spending Matter?
January-February 2021 Issue
FREE DATA POINT Why should we be concerned that primary care spending appears to be declining? A growing body of evidence measuring health system performance and population health outcomes finds that greater primary care is associated with better value: enhanced population health outcomes, greater equity, and more efficient use of healthcare resources.
Physicians Expanding Care Into the Home
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.
COVID-19 Readmissions
In this free industry report, The Remington Report provides key data analysis to help your organization mitigate COVID-19 readmissions, along with five action steps for your organizations to explore.
Physicians Are Expanding Care into the Home
November-December 2020 Issue
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.
Payers Expanding Care at Home Models
November-December 2020 Issue
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.
State Medicaid Programs are Expanding Value-Based Payments
November-December 2020 Issue
SUBSCRIBER CONTENT States are developing plans to increase Medicaid provider participation in and adoption of value-based care models. How will these new payment models work?
Medicare Advantage Plans Expand Supplemental Benefits
November-December 2020 Issue
SUBSCRIBER CONTENT Medicare Advantage Plans are expanding supplemental benefits in 2021. Learn what services are expanding and how this expands your partnerships.
Medicaid Managed Care are Linking Bonus Programs Tied to Performance
November-December 2020 Issue
SUBSCRIBER CONTENT States are expanding value-based payments (VBP) in Medicaid and leveraging their Medicaid managed care programs to advance their payment reform goals. We discuss the details.
New Care Models Allow Payers to Take on Risk for Dual-Eligible Beneficiaries
November-December 2020 Issue
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?
Expanded Access for Rural Communities and Transformation of Care
November-December 2020 Issue
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?
COVID-19: The Triumphs and Challenges
November-December 2020 Issue
SUBSCRIBER CONTENT Compelling stories from your peers talk about their experiences with COVID-19 and their patients.
