FREE PUBLISHER'S MESSAGE As we turn the corner into 2021, healthcare leaders should be asking themselves four key questions to address greater sustainability.
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.
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.
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?
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.
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.
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
FREE DATA POINT Medicare Advantage growth continues to outpace overall Medicare FFS membership growth, according to the latest statistics.
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.
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.
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.
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.
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?
SUBSCRIBER CONTENT Medicare Advantage Plans are expanding supplemental benefits in 2021. Learn what services are expanding and how this expands your partnerships.
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.
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?
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?
SUBSCRIBER CONTENT Compelling stories from your peers talk about their experiences with COVID-19 and their patients.
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.
SUBSCRIBER CONTENT This collection of stories shares how caregivers overcome the challenges of treating patients during COVID-19.
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.
During COVID-19, home-based care created a new sense of urgency which will continue beyond the pandemic. Find out why.
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.
How is COVID-19 delaying care? Nationwide 40% of Americans are still delaying care according to a survey from the U.S. Census Bureau.
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.
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?
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.
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.
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.
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.
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?
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.
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?
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
SUBSCRIBER CONTENT MaineHealth Care at Home began using telehealth in 2001. In our Interview with Donna DeBlois, RN, BSW, MSB, MBA, AHCA, President of MaineHealth Care at Home, we learn how her organization is expanding telehealth to a broader patient population under COVID-19.
COVID-19: The solutions home care, palliative care, hospice and DME are providing to demonstrate value.
SUBSCRIBER CONTENT Market readiness is the theme for this year’s outlook. The talk of transformation has traction. Too many disruptors are in the healthcare market pushing out traditional models of care. Until you see the information gathered in one document, it may seem transformation is still a while away. Our study of trends and market signals indicate otherwise.