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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. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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There?s been a significant industry-wide interest on ?downshifting care? to lower-cost delivery? environments. Harnessing the home as a?central hub is getting the attention of physicians, payers and health systems as a way to transform traditional care management models with integrated home-based medicine. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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Sentara Home Care Services is comprised of 10 home health agencies that span across Virginia and parts of northeastern North Carolina. Recognizing the challenges of the Patient-Driven Grouper Model (PDGM) and the high cost of complex wounds, Sentara redefined its program to include technology, and a shared risk model with their supply company resulting in cost reductions and improved outcomes. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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TANDEM365 is a complex medical case management program coupled with a robust community paramedicine program that offers rapid response and in-home intervention capabilities. Blending population health management with community paramedicine, the goal of TANDEM365 is to connect all providers across the healthcare continuum to effectively coordinate care and prevent gaps. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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Each year, we assemble this list as a way to examine the past year and to potentially identify trends. Trends that both reflect and influence the current environment, but also shed some light on what may lay in store for the future. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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Direct contracting creates the seismic change to level the playing field for small and large organizations, tests risk-sharing payments, creates a playground to test payments that operated in silos, and creates greater financial alignment. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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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. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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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. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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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. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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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. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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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. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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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. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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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. This article is free to 1-Year Classic and 2-Year Premium subscribers.