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  • Our nation has spent decades building and refining the healthcare system we know today. However, a shift is taking place ? highlighting a great need for, and opportunity to provide, home-based primary care (HBPC). This article is free to 1-Year Classic and 2-Year Premium subscribers.
  • Eighty percent of ACOs reported using home visits for some of their patients, with larger ACOs more commonly using home visits. Under alternative payment models ? including accountable care organization (ACO) contracts ? providers may have greater motivation to improve care delivery for patients with complex clinical needs because they are responsible for the patients? total cost of care. This article is free to 1-Year Classic and 2-Year Premium subscribers.
  • The rate of readmissions increases in the first two days after a SNF discharge. If SNFs lower their readmission rates, providers can earn the two percent. CMS reports almost three-quarters of the providers in the country will receive a cut under VBP. This article is free to 1-Year Classic and 2-Year Premium subscribers.
  • Prior authorizations take time away from patients and interject a third party into the doctor-patient relationship. There are many frustrations with prior authorizations, but the time spent getting payer permission is a common thread among all doctors. The average practice spends more than 15 hours per week total on them. This article is free to 1-Year Classic and 2-Year Premium subscribers.
  • Telehealth is predicted to be the next big investment for seniors aging in place. The number of seniors requiring additional caregiving and support due to chronic disease will increase from about 14 percent of the senior population in 2010 to 21 percent by 2050, putting the pressure on healthcare providers to improve caregiving platforms. This article is free to 1-Year Classic and 2-Year Premium subscribers.
  • 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. This article is free to 1-Year Classic and 2-Year Premium subscribers.
  • A recent study suggests health coaches could provide significant cost savings to patients and health systems, reduce patient hospitalizations and emergency department visits, improve patient health, and improve the quality of care for high-risk patient populations. This article is free to 1-Year Classic and 2-Year Premium subscribers.
  • As we shift away from traditional Medicare models, it may be time to reassess whether the traditional Medicare limitation on DME continues to make sense for both patients and payer sources. This article is free to 1-Year Classic and 2-Year Premium subscribers.
  • Of the 12 million Americans who qualify for both Medicare and Medicaid, 26% of hospitalizations were potentially avoidable. Total healthcare expenditures for this group exceed $300 billion a year, due in part to misaligned financial incentives between the two programs. This article is free to 1-Year Classic and 2-Year Premium subscribers.
  • A unified value-based incentive program for post-acute care providers is recommended with a possible 5% withhold. Med-PAC is building on their previous work of the unified prospective payment system across four post-acute settings. This article is free to 1-Year Classic and 2-Year Premium subscribers.
  • Aggressive moves by payers teaming up with big players such as CVS are advancing their healthcare programs into the home. How does this impact healthcare organizations? Are these new partnering opportunities or, a new competitor on the horizon? This article is free to 1-Year Classic and 2-Year Premium subscribers.
  • Patient engagement is a quality measure for all providers. Developing a chronic care management model is a key strategic model. This article is free to 1-Year Classic and 2-Year Premium subscribers.

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