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Adam Boehler left his position as the deputy administrator and director of CMS and Medicaid Innovation (CMMI). His position at CMMI was important to home and community-based providers. His work created models to pay primary care physicians based on value, tie prices of drugs administered in a doctor's office to the amount other countries pay, and a drive to move?more people to get dialysis in their homes. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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FirstHealth Home Care, a division of FirstHealth of the Carolinas, a comprehensive not-for-profit healthcare system in the mid-Carolinas, has always kept the focus on high quality patient care and actionable data to drive performance improvement. With the advent of the five year Home Health Value-Based Purchasing Model Pilot in 2016, FirstHealth was already demonstrating consistently high outcomes. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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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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North Carolina will implement a groundbreaking program in select regions to pilot evidence-based interventions addressing issues like housing instability, transportation insecurity, food security, interpersonal violence and toxic stress. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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Medicare Advantage beneficiaries are switching to Medicare Fee-for-Service during their last year of life according to a Government Accountability Office study. The federal government would have saved $912 million during 2016 and 2017 had fewer Medicare Advantage enrollees opted into traditional Medicare during their last year of life, the GAO estimates. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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The Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS), the primary enforcer of fraud and abuse prohibitions, has issued its annual recommendations that, if implemented, will likely affect HHS programs positively in terms of cost savings, program effectiveness and efficiency, and public health and safety. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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Payers are targeting their member populations that will benefit the most from at-home care. The center of their home health offerings is focused on high-cost patients, palliative care, diabetes, home care visits, telehealth, and at-home testing. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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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? This article is free to 1-Year Classic and 2-Year Premium subscribers.
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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. 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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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. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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Across the board, we see from referral sources and other care providers alike that they really feel as if they’re part of the care team now instead of the end of the line where a patient goes when they get out of the hospital. Your peers share their thoughts and solutions. 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.