January/February 2025 Issue
SUBSCRIBER CONTENT In 2025, reimbursement for caregiver training will begin. Although these are billing codes for training established by physicians, the initiative highlights caregiver engagement as a vital aspect of home-based care. This focus aims to reduce hospital readmissions and enhance patient outcomes.
September/October 2024 Issue
SUBSCRIBER CONTENT Outcome-based relationships are becoming crucial for home care organizations to stay competitive. This article describes six ways to develop outcome-based relationships with physicians and specific proactive strategies.
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.
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.
January/February 2024 Issue
SUBSCRIBER CONTENT ENVIRONMENTAL SCAN: Screening requirements for social determinants in 2024 are front and center for hospitals, dialysis centers, physicians, and post-acute providers. Coordination across various healthcare settings, including ambulatory, emergency department, inpatient, and home health will create a unified approach.
September/October 2023 Issue
CMS is asking for feedback to create a future episode-based payment model seeking feedback regarding a potential new episode-based payment model that would be designed with a goal to improve beneficiary care and lower Medicare expenditures by reducing fragmentation and increasing care coordination across health care settings.
September/October 2023 Issue
For CY 2024, CMS proposes paying physicians for Caregiving Training Services (CTS) when the treating practitioner identifies a need to involve and train one or more caregivers to assist the patient in carrying out a patient-centered treatment plan.
September/October 2023 Issue
SUBSCRIBER CONTENT CMS is proposing to pay separately for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services to account for resources when clinicians involve community health workers, care navigators, and peer support specialists in furnishing medically necessary care.
July/August 2023 Issue
SUBSCRIBER CONTENT A new CMS model for primary care is testing value-based payments, chronic care management, and management of social determinants. If successful, the model Making Care Primary can scale both large and small physician practices into value-based care and comprehensive care management.
January/February 2023 Issue
SUBSCRIBER CONTENT Medicare’s Care Compare website is adding physician and clinician affiliations to home-based care organizations. The new information is meant to provide additional information to support patients and caregivers as they make healthcare decisions.
January/February 2023 Issue
SUBSCRIBER CONTENT CMS has indicated that the agency intends for anyone with Medicare coverage to be under a value-based payment arrangement by 2030. Learn which fee-for-service programs are advancing value-based care.
September/October 2021 Issue
FREE CONTENT In this article, we discuss the 10 most frequent principal diagnoses and their costs impacting hospital inpatient stays.
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.
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.
September/October 2021 Issue
SUBSCRIBER CONTENT Recent research discusses the missed opportunities for discussions about end-of-life, including advance care planning, palliative care, discontinuation of disease-directed treatment, hospice care, and after-death wishes, with outpatients with advanced cancer.
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.
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?
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.
March/April 2021 Issue
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?
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.
Your organization has new opportunities to grow and expand payer partnerships. A one-size-fits-all approach no longer exists, which is why we have bundled four articles from the Nov-Dec 2020 issue of The Remington Report into this complimentary compendium. Read about how to expand internal and external education, leverage critical investments in your workforce, and enhance actionable data needed by payers.
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.
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.
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.
September/October 2020 Issue
CMS has released proposed policy changes for 2021 Medicare payment rates under its annual Physician Fee Schedule. Telehealth codes allow physicians to bill for home visits and care planning. We dive into the codes and what they mean.
September/October 2020 Issue
Home-based medical care models are shaking-up the $260 billion primary care market. How are integrated primary care delivery models addressing chronic care management in the home?
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.
Twenty-one states have taken action to suspend or waive certain practice requirements for physician assistants in response to COVID-19.
The data from the Bureau of Labor Statistics found dentists' offices had the most losses with 503,000. Physicians' offices lost 243,000.
May/June 2020 Issue
In our interview with Paula Thompson, RN, MS, CRNI, President and CEO of Fidelity Health Care, we learn how her organization has advanced partnerships with five health systems and physician practices.
Physicians are thinking more seriously about how to succeed in the MIPS Cost category. Consider these 5 ways to help physicians reduce costs in healthcare.
Now is the time for all home care providers to review agreements and their practices with regard to payments to referring physicians.
Physical therapists once in such high-demand are facing massive layoffs across the industry because of reimbursement changes to skilled nursing facilities .
CMS is increasing payment for transitional care management services provided after discharge from an inpatient stay or certain outpatient stays.
What post-acute care providers need to know about a new rule that includes updated payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule.
The new rules will give providers in value-based arrangements greater certainty and ease the compliance burden for providers across the industry.
The proposed rules recognize that incentives are different in a healthcare system that pays for value rather than the volume of services provided.
Through initiatives that change how heathcare is delivered and physicians are paid, CMS is driving toward the goals of improving quality and reducing costs.
MACRA is a law that builds a new, fast-speed highway to take the healthcare system away from fee-for-service and toward coordinated care models.
CMS published a rule on Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APM) incentives under MACRA.
CMS released the first major regulation under MACRA. For now, only physician offices – not hospitals – are governed by MACRA rules.
Physician and post-acute providers can partner together to provide chronic care management through annual wellness programs visits.
In this interview with Dr. Brian Amdahl, we ask questions related to post-acute’s value, payment reform and the challenges ahead.
House calls markedly improve the quality of life of home-limited patients and their caregivers while dramatically reducing healthcare costs.
The top six types of providers who provided home-based medical care (non-podiatry) in both 2012 and 2013 accounted for two-thirds of the providers.
This document answers frequently asked questions about billing chronic care management (CCM) services to the Physician Fee Schedule.
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.
SUBSCRIBER CONTENT Fragmentation of the care delivery system is widely recognized as a cause of missed opportunities to treat both acute and chronic conditions.
SUBSCRIBER CONTENT The program at Washington Hospital Center has lowered total costs of care and has reduced average inpatient length of stay from 8 to 6 days.
SUBSCRIBER CONTENT Key takeaways from the perspective of primary care office help stakeholders to better understand care management population health models.
CPC+ is a national advanced primary care medical home model that aims to strengthen primary care through a regionally-based multi-payer payment reform.
Care management is a key component of policy development, future legislation and new regulations. How is this changing the future of healthcare?
SUBSCRIBER CONTENT Patients sent home after knee and hip replacements do not have higher rates of medical complications, returns to the hospital or E.R. visits
This issue of FutureFocus highlights the innovation of an in-home, physician-led model working collaboratively with a payer to manage complex care.
In this issue of FutureFocus, we offer up 10 ways to identify future partnerships between physicians and the home care industry.
The new Primary Cares Initiative that will transform care and payment for complex, high-need patients who are able to stay healthy in their own homes.
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