To The Point
May-June 2021 Issue
FREE PUBLISHER'S MESSAGE Seven ways new players are consolidating the market and changing the dynamics of the traditional care at home model.
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.
To The Point
March-April 2021 Issue
FREE PUBLISHER'S MESSAGE It’s not business as usual for home health, hospice, palliative care, in-home providers, and community-based organizations.
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.
To The Point
January-February 2021 Issue
FREE PUBLISHER'S MESSAGE As we turn the corner into 2021, healthcare leaders should be asking themselves four key questions to address greater sustainability.
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.
To The Point
November-December 2020 Issue
FREE PUBLISHER'S MESSAGE 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.
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.
COVID-19: Overseeing Multiple Conditions
November-December 2020 Issue
SUBSCRIBER CONTENT 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: Overcoming Fear and Showing Strength
November-December 2020 Issue
SUBSCRIBER CONTENT This collection of stories shares how caregivers overcome the challenges of treating patients during COVID-19.
OIG Says Providers Can Offer Services to Caregivers
November-December 2020 Issue
SUBSCRIBER CONTENT 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.
To The Point
September-October 2020 Issue
FREE PUBLISHER'S MESSAGE During COVID-19, home-based care created a new sense of urgency which will continue beyond the pandemic. Find out why.
Home-Based Primary Care: It’s Time to Think Beyond the Clinic Walls
September-October 2020 Issue
SUBSCRIBER CONTENT 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.
DataPoint: 40% of Americans Delay Care
September-October 2020 Issue
FREE DATA POINT How is COVID-19 delaying care? Nationwide 40% of Americans are still delaying care according to a survey from the U.S. Census Bureau.
Telehealth: 2021 New Billing Codes for Physician Home Visits and Care Planning
September-October 2020 Issue
SUBSCRIBER CONTENT 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.
Home-Based Primary Care Models are Disrupting the Traditional Primary Care Market
September-October 2020 Issue
SUBSCRIBER CONTENT 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?
The Vulnerabilities of COVID-19 Expand Insurers Capabilities In the Home
September-October 2020 Issue
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.
Stronger Strategic Partnerships: Data Exchange is a Driving Factor
September-October 2020 Issue
SUBSCRIBER CONTENT 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.
Marketing Hospice Service to ALF: Preferred-Provider Agreements
September-October 2020 Issue
SUBSCRIBER CONTENT How do anti-kickback statutes apply if providers or Assisted Living Facilities (ALFs) are involved in referral arrangements and receive any type of federal or state funds? Attorney Elizabeth Hogue breaks it all down.
To The Point
July-August 2020 Issue
FREE PUBLISHER'S MESSAGE 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.
Telehealth’s Outlook Beyond COVID-19
July-August 2020 Issue
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?
DataPoint: Medicare Advantage Penetration Reaches 36% in 2020
July-August 2020 Issue
FREE DATA POINT Medicare Advantage penetration continued to grow following the 2020 Medicare Annual Election Period, reaching 36.0% in 2020, according to CMS’s March data release.
COVID-19 Telehealth Expansion to Access Essential Health Services
July-August 2020 Issue
SUBSCRIBER CONTENT How can home care optimize telehealth during COVID-19 to work with other stakeholders and maintain continuity of care? What strategies can increase uptake and new models?
COVID-19 Case Study: Intermountain Healthcare’s Hospital-Level Care In Patients’ Homes
July-August 2020 Issue
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 Medicare Emergency Waivers For Discharge Planning And Home Care Providers
July-August 2020 Issue
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.
DataPoint: Almost 90% of COVID-19 Admissions Involve Comorbidities
July-August 2020 Issue
FREE DATA POINT The hospitalization rate for COVID-19 is 4.6 per 100,000 population, and almost 90% of hospitalized patients have some type of underlying condition, according to the Centers for Disease Control and Prevention (CDC).
CommonSpirit Health at Home Reinvents Virtual Telehealth Monitoring
July-August 2020 Issue
SUBSCRIBER CONTENT 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.
COVID-19: Reauthorization of the Older Americans Act (OAA)
July-August 2020 Issue
SUBSCRIBER CONTENT The reauthorization of the Older Americans Act (OAA) was perfect timing when COVID-19 reared its ugly head. Last March, President Trump signed a bipartisan reauthorization of a landmark law that provides more money for programs that help millions of older Americans age in their homes and communities through services including Meals on Wheels, family caregiver support, and transportation.
Seniors Using Telehealth in Medicare Advantage Plans are Highly Satisfied
July-August 2020 Issue
SUBSCRIBER CONTENT Amid COVID-19 pandemic, 91% of Medicare Advantage beneficiaries using telehealth report favorable experiences while a record-setting 99% express satisfaction with their MA plan. 78% are willing to use it again.
To The Point
May-June 2020 Issue
FREE PUBLISHER'S MESSAGE COVID-19: The solutions home care, palliative care, hospice and DME are providing to demonstrate value.
COVID 19: Proactive Post-Acute Solutions for Health Systems and Physicians
May-June 2020 Issue
SUBSCRIBER CONTENT 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.
COVID 19 The Time is Now! Do More to Demonstrate the Value of Post-Acute Care
May-June 2020 Issue
SUBSCRIBER CONTENT 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.
DME: The Forgotten Frontline in the COVID-19 War
May-June 2020 Issue
SUBSCRIBER CONTENT 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.
COVID 19 and Beyond: The Role of the Respiratory Therapist in Post-Acute and Home Care
May-June 2020 Issue
SUBSCRIBER CONTENT 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: Key Legal Issues
May-June 2020 Issue
SUBSCRIBER CONTENT It’s an important time to review legal questions and issues related to COVID-19. There is a lot of mis-information flying around and it’s easy for providers to get tripped up. But providers must ensure that they are doing it right in order to avoid a day of legal reckoning that could threaten their businesses in the future.
COVID-19: Broadening Telehealth Solutions
May-June 2020 Issue
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.
