To The Point
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
PREMIUM 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
PREMIUM 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
PREMIUM 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
PREMIUM 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
PREMIUM 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
PREMIUM 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
PREMIUM 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
PREMIUM CONTENT Compelling stories from your peers talk about their experiences with COVID-19 and their patients.
COVID-19: Overseeing Multiple Conditions
PREMIUM 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
PREMIUM 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
PREMIUM 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
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
PREMIUM 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
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
PREMIUM 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
PREMIUM 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
PREMIUM 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
PREMIUM 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
PREMIUM 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
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
PREMIUM 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
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
PREMIUM 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
PREMIUM 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
PREMIUM 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
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
PREMIUM 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)
PREMIUM 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
PREMIUM 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.
COVID 19: Proactive Post-Acute Solutions for Health Systems and Physicians
PREMIUM 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
PREMIUM 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
PREMIUM 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
PREMIUM 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
PREMIUM 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
PREMIUM 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.
To The Point
COVID-19: The solutions home care, palliative care, hospice and DME are providing to demonstrate value.
Healthcare Outlook 2020: Five Reasons Why Post-Acute Models Will Be Redefined
PREMIUM 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.
