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Home Health

Home Health and Community-Based Organizations

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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?2022-11-07T16:46:36-05:00

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 Conditions2022-11-09T21:01:35-05:00

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

November-December 2022 Issue
SUBSCRIBER CONTENT 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 Burnout2022-11-11T16:58:24-05:00

Which Types of ACOs Use Home Visits the Most and Why?

November-December 2022 Issue
SUBSCRIBER CONTENT Home-based organizations eager to have partnerships with ACOs will learn in our discussion why certain ACOs engage in greater home visits and care transitions to manage complex patients. No two ACOs are alike. Get insights into the characteristics of ACOs and their decision points. We follow up with three key leadership discussion questions.

Which Types of ACOs Use Home Visits the Most and Why?2022-11-11T16:59:19-05:00

Care Transitions Intervention Model to Manage Social Determinants of Health

November-December 2022 Issue
SUBSCRIBER CONTENT The focus on social determinants of health is a hot topic in healthcare. Multidisciplinary teams and a care transition model in the case study resulted in reduced readmissions and improved outcomes. The model is scalable and a win-win for healthcare and the patient.

Care Transitions Intervention Model to Manage Social Determinants of Health2022-11-11T16:59:34-05:00

7 Things Changing in Healthcare 2023 You Should Know About

November-December 2022 Issue
SUBSCRIBER CONTENT Seven areas of healthcare are changing in 2023 related to quality measures, bundled payments, the hospice benefit, and the expanded HHVBP model. For each, we provide details and resources to keep you in the know.

7 Things Changing in Healthcare 2023 You Should Know About2022-11-11T17:00:58-05:00

Workforce Analysis: What are the Key Factors That Would Motivate Nurses to Stay in the Profession?

September-October 2022 Issue
SUBSCRIBER CONTENT The crisis level of the nursing shortage has no easy fix. A national survey provides insights into what are the most important benefits for nurses, how salaries compare nationwide, and what are the most crucial factors for job satisfaction.

Workforce Analysis: What are the Key Factors That Would Motivate Nurses to Stay in the Profession?2022-10-29T13:00:27-04:00

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?2022-10-29T11:31:22-04:00

Workforce: How is the Role of Nurse Practitioners Changing?

September-October 2022 Issue
SUBSCRIBER CONTENT The role of the nurse practitioner continues to grow with more than 355,000 NPs nationwide and growth projections of 45% by 2030. We provide important state-by-state analysis and annual salaries.

Workforce: How is the Role of Nurse Practitioners Changing?2022-10-29T11:31:37-04:00

4 Care Transition Challenges and How to Solve Them

September-October 2022 Issue
SPECIAL REPORT/FREE CONTENT In this special report, learn about the challenges and solutions to effective care transitions, competitive tools, and shared peer actions.

4 Care Transition Challenges and How to Solve Them2022-10-29T11:31:46-04:00

Analysis: Seniors Usage of Technology and Telehealth Growing

September-October 2022 Issue
SUBSCRIBER CONTENT The gap between the younger generation and the senior population is narrowing when it comes to smart phones, tablets, internet users, YouTube, and telehealth. A recent study provides valuable insight for healthcare providers adopting technology in the home.

Analysis: Seniors Usage of Technology and Telehealth Growing2022-10-29T11:32:01-04:00

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 Market2022-08-28T13:38:47-04:00

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 Nationally2022-08-28T13:38:55-04:00

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 Plans2022-08-28T13:39:05-04:00

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 Contracting2022-08-28T13:39:13-04:00

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 Care2022-08-28T13:39:20-04:00

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.

CEO Perspective: How Shifts in Culture and Leadership are Achieving Better Clinician Work-Life Balance2022-10-11T12:22:48-04:00

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.

Post-Acute Transfer to a Home with Home Health Services2022-06-28T13:10:10-04:00

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?2022-04-25T19:52:14-04:00

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 Readmissions2022-05-04T16:46:29-04:00

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.

The Expansion and Shift Into Community-Based Care2022-10-11T12:26:36-04:00

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: Nurse Practitioners by State2021-12-21T15:28:29-05:00

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.

Legal: What Can Providers Give to Patients?2022-03-20T09:03:53-04:00

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.

Closing the Patient Communication Gap With Your Referral Partners2022-03-20T09:02:55-04:00

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.

Why is It Important to Understand Hospital Stays By Medical Condition?2021-10-10T18:46:04-04:00

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 Obesity Crisis and Chronic Illness Attributed to 64% of Hospitalizations2021-10-23T11:22:01-04:00

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.

Six Smart Ways to Stay in Communication with Your Referral Sources2021-12-21T10:21:45-05:00

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.

Six Ways to Identify, Increase, and Manage Referrals2021-12-21T10:21:45-05:00

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.

Seamless Care Transitions: Six Smart Ways to Stay in Communication with Your Referral Sources2021-10-23T11:24:01-04:00

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 Usage2022-08-21T11:31:21-04:00

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.

Administering Specialty Drugs at Home2022-08-21T11:31:25-04:00

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?

Six Ways To Recharge Clinical Engagement and Work/Life Balance2022-08-21T11:31:30-04:00

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.

Legal Perspective on Patient Choice2022-03-20T09:03:54-04:00

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-Up2022-08-21T11:31:46-04:00

The Four Frustrations Your Referrals are Voicing. Is Your Organization Losing Referrals?

May-June 2021 Issue
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.

The Four Frustrations Your Referrals are Voicing. Is Your Organization Losing Referrals?2022-08-21T11:31:50-04:00

Advance Care Planning: Pilot Studies for Care at Home Providers

May-June 2021 Issue
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.

Advance Care Planning: Pilot Studies for Care at Home Providers2022-08-21T11:31:54-04:00

What Legal Parameters Establish Patient Choice?

May-June 2021 Issue
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.

What Legal Parameters Establish Patient Choice?2022-08-21T11:31:57-04:00

Are CMS Payment Models Delayed … Or Gone Forever?

May-June 2021 Issue
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.

Are CMS Payment Models Delayed … Or Gone Forever?2022-08-21T11:32:01-04:00

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 Services2022-08-21T11:32:08-04:00

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?2022-08-21T11:32:12-04:00

How Community-Based Care is Being Redefined

March-April 2021 Issue
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.

How Community-Based Care is Being Redefined2022-08-21T11:32:15-04:00

How to Accelerate Business Growth and Technology Innovation for Home Health, Hospice, Palliative Care, and Private Duty Providers

March-April 2021 Issue
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.

How to Accelerate Business Growth and Technology Innovation for Home Health, Hospice, Palliative Care, and Private Duty Providers2022-08-21T11:32:22-04:00

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.

4 Strategies to Dramatically Improve Productivity, Volume, and Revenue2021-10-23T11:29:27-04:00

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 Payments2021-10-23T11:29:41-04:00

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.

Remington’s Industry Report 2021 Leadership Perspectives2021-10-23T11:30:05-04:00

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.

7 Models That Will Accelerate Value Based Payments in 20212021-08-30T18:08:26-04:00

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?2022-08-21T11:32:26-04:00

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?2022-08-21T11:32:29-04:00

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?2022-08-21T11:33:49-04:00

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?2022-08-21T11:33:58-04:00

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 Risk2022-08-21T11:34:02-04:00

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 Regional2022-08-21T11:34:06-04:00

DATA POINT: Why Does Primary Care Spending Matter?

January-February 2021 Issue
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.

DATA POINT: Why Does Primary Care Spending Matter?2022-08-21T11:34:14-04:00

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.

Physicians Expanding Care Into the Home2021-08-30T18:08:27-04:00

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.

COVID-19 Readmissions2021-10-23T11:32:29-04:00

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 Home2022-08-21T11:34:18-04:00

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 Models2022-08-21T11:34:22-04:00

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 Beneficiaries2022-08-21T11:34:38-04:00

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 Care2022-08-21T11:34:43-04:00

COVID-19: Overseeing Multiple Conditions

November-December 2020 Issue
We share a collection of stories from caregivers on the frontline overseeing patient care for multiple conditions at home: dementia, end-of-life, behavioral health, and falls.

COVID-19: Overseeing Multiple Conditions2022-08-21T11:34:51-04:00

OIG Says Providers Can Offer Services to Caregivers

November-December 2020 Issue
In Advisory Opinion No. 18-05; issued on June 18, 2018; the OIG addressed the circumstances under which providers can establish “caregiver centers” that provide or arrange for free or reduced-cost support services to caregivers in local communities.

OIG Says Providers Can Offer Services to Caregivers2022-08-21T11:34:58-04:00

6 Ways Care in the Home is Changing Your Business

In this free industry report, The Remington Report shares six ways care in the home is changing the future of healthcare. Leaders will need to address these strategically if they intend to realize continued growth in a significantly changing marketplace.

6 Ways Care in the Home is Changing Your Business2021-08-30T18:08:28-04:00

Home-Based Primary Care: It’s Time to Think Beyond the Clinic Walls

September-October 2020 Issue
Primary care is being rapidly redefined today right before our eyes. As healthcare evolves, patient needs expand and providers must look for new and better ways to achieve a patient-centered model of practice. Read the four reasons home-based primary care is opening doors and opportunities for patients and providers today.

Home-Based Primary Care: It’s Time to Think Beyond the Clinic Walls2022-08-21T11:35:02-04:00

DataPoint: 40% of Americans Delay Care

September-October 2020 Issue
How is COVID-19 delaying care? Nationwide 40% of Americans are still delaying care according to a survey from the U.S. Census Bureau.

DataPoint: 40% of Americans Delay Care2022-08-21T11:35:05-04:00

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 Home2022-08-21T11:35:16-04:00

Stronger Strategic Partnerships: Data Exchange is a Driving Factor

September-October 2020 Issue
Payers are interested in talking about the data. In particular, they are interested in understanding how home care providers are able to reduce their penalties and increase their rewards in a value-based payment system. Learn how one organization is advancing conversations.

Stronger Strategic Partnerships: Data Exchange is a Driving Factor2022-08-21T11:35:19-04:00

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 Conditions2021-10-23T11:35:44-04:00

Legal: Managing the Risks of Wound Care

Wound care is a risky business these days. Providers who render wound care services are at risk for many things, including liability for negligent wound care, violation of fraud and abuse prohibitions based on substandard wound care, and liability for abandonment when wound care services are discontinued.

Legal: Managing the Risks of Wound Care2022-03-20T09:03:54-04:00

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-192022-08-21T11:36:15-04:00

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’ Homes2022-08-21T11:36:25-04:00

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 Providers2022-08-21T11:36:30-04:00

CommonSpirit Health at Home Reinvents Virtual Telehealth Monitoring

July-August 2020 Issue
CommonSpirit Health at Home provides another layer of protection and defense to keep vulnerable patients safe, healthy, and in their homes during this pandemic. And, it positioned to play a key role in preventing a post-COVID surge at care sites. Learn how CommonSpirit at Home expanded its virtual monitoring capabilities to better respond to patients’ needs during and beyond the COVID-19 pandemic.

CommonSpirit Health at Home Reinvents Virtual Telehealth Monitoring2022-08-21T11:36:38-04:00

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 Doubled2021-10-22T17:39:52-04:00

COVID 19 The Time is Now! Do More to Demonstrate the Value of Post-Acute Care

May-June 2020 Issue
Anxiety levels are high right now. The COVID-19 outbreak has overtaken our lives, affecting everyone, but especially our patients and families. We no longer have the comfort of a normal routine, and there is no end in sight from this unprecedented pandemic.

COVID 19 The Time is Now! Do More to Demonstrate the Value of Post-Acute Care2022-08-21T11:36:52-04:00

DME: The Forgotten Frontline in the COVID-19 War

May-June 2020 Issue
Is COVID-19 identifying a major gap in DME services? As hospitals discharge patients into their homes or other residential settings to free-up resources and hospital beds, the resultant strain on the provision of DME items and services, particularly for suppliers of home oxygen and ventilators, will significantly increase. Read about unintended consequences.

DME: The Forgotten Frontline in the COVID-19 War2022-08-21T11:36:55-04:00

COVID 19 and Beyond: The Role of the Respiratory Therapist in Post-Acute and Home Care

May-June 2020 Issue
COVID-19 quickly identifies gaps in the health care delivery system. In the acute care hospital, the Respiratory Therapists (RT) is a well-respected team leader in respiratory care. Yet as soon as that patient is discharged, they suddenly lose that supportive RT expertise.

COVID 19 and Beyond: The Role of the Respiratory Therapist in Post-Acute and Home Care2022-08-21T11:36:58-04:00

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 Solutions2022-08-21T11:37:05-04:00

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 20212021-10-22T17:42:48-04:00

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 Department2021-10-22T17:43:31-04:00

Peer Case Study: Community-Based Paramedicine Model

CMS recently announced the Emergency Triage, Treat, and Transport model, which provides greater flexibility to ambulance care teams to address emergency health care needs of certain Medicare beneficiaries following a 911 call. 

Peer Case Study: Community-Based Paramedicine Model2021-10-23T11:39:13-04:00

Encompass Health Case Study

Encompass Health, in collaboration with McKesson, saved 17% to 19% on their supply spend, increased efficiencies, and achieved greater patient satisfaction.

Encompass Health Case Study2021-10-23T12:05:02-04:00

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 Risk2021-10-22T17:45:11-04:00

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 News2021-08-30T18:08:31-04:00

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 Laws2021-10-23T11:55:22-04:00

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 Domains2021-08-30T18:08:33-04:00

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 Program2021-08-30T18:08:34-04:00

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 Characteristics2021-08-30T18:08:34-04:00

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 Diagnosis2021-08-30T18:08:34-04:00

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 Model2021-10-22T17:54:37-04:00

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 Scan2021-10-23T11:59:15-04:00

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 Model2021-08-30T18:08:36-04:00