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The Centers for Medicare & Medicaid Innovation (CMMI) recently announced five new payment models transforming?kidney care so that patients?with chronic kidney disease have access to high quality, coordinated care. The payment models are in response to an executive order signed by President Trump on advancing kidney health. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The right of patients to choose providers has generated considerable conflict within the provider community. In this article, learn the four key legal sources supporting patient choice and actions your organizations and patients can take to have them enforced. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Post-acute organizations need consulting physicians’ services. The OIG continues to scrutinize these relationships. What are the three things providers should know before signing agreements? This article is free to 1-Year Classic and 2-Year Premium subscribers. -
For the home care industry, the announcement of new value-based physician payment models should have caused a gleeful outburst. Under these new models, Medicare will be rewarding practices for providing more convenient access to care, and start paying for chronic disease care management, acute care in-home services, and hospice and palliative care. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Beginning in 2020, CMS will waive the uniformity requirements for Separate Individual Benefits for the Chronically Ill (SSBCI) but maintains that programs offered may not be used to induce membership. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
A study by Premier of nearly 24 million ED visits across 750 hospitals found that approximately 4.3 million visits associated with patients who have at least one of the six chronic conditions were potentially preventable. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Expanding continuum of care services is an important strategy for future market positioning. We explore how providers, payers, and physicians are broadening services to expand partnership referrals, create innovation, and ensure sustainability. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
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. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
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. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Medicare Advantage Plans are expanding supplemental benefits in 2021. Learn what services are expanding and how this expands your partnerships. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
CMS is testing how different service delivery innovations in telehealth can be used to both augment and complement an MA plan?s current network of providers. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Health plans are in a transformative phase right now. Three major areas in 2020 focus on government markets, care management, and information technology to support improvement and cost reduction. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
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? This article is free to 1-Year Classic and 2-Year Premium subscribers. -
In this article, we take a look at social determinant insights and investments from the perspective of Medicare Advantage plans, Medicaid managed care and healthcare providers. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
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. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Primary care transformation in voluntary programs has failed to broadly engage primary care organizations. What?s causing the low participation? 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. -
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. -
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. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Changes to reimbursement for skilled nursing facilities and the physician fee schedule final rule have a major impact on the future of physical therapists and occupational therapists. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Physician participation in accountable care organizations (ACOs) reached a milestone in 2018. More than half of physicians reported their practice was part of an ACO. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
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. 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. -
The research will focus on payment for episodes with up to two PAC services within seven days of each other and exclude hospital and physician services. 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. -
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. -
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. -
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. -
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. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Learn the specific six surging areas businesses are investing in that is creating a road map to healthcare’s future. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Four peers share solutions to improve clinical handoffs, the advantages of timely information, how to drive better outcomes, and how to boost clinical productivity. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Your referral partners increasingly expect robust communications to make patient transfers as seamless as possible, for both the patient and providers. They will have to make a choice. Ultimately, they will look for relationships with organizations that are easy to work with and that can deliver proven quality care. We provide insights and strategies from high-performing organizations. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
In this new normal, it’s important to understand how your referral sources work, what they are sending to you versus the competition, how to deepen relationships with these sources, and what differentiates you as a provider in the marketplace. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Strategies and actions to improve clinician experiences. Work/life balance is something nurses are constantly trying to achieve, and many nurses are falling short of that goal. What solutions are your peers using to combat burnout, achieve better nurse work/life balance, and improve patient care? This article is free to 1-Year Classic and 2-Year Premium subscribers. -
States are developing plans to increase Medicaid provider participation in and adoption of value-based care models. How will these new payment models work? 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.
ABOUT THE REMINGTON THINK TANK STRATEGY INSTITUTE
We want you to think boldly about your future! Unlocking growth and business development opportunities for your organization requires a deep understanding of industry trends, evaluating different growth drivers based on healthcare and home care market transformations, comprehending the strategic direction of your referral sources, and uncovering your direct path to growth.
With three decades of unwavering commitment, we take pride in our proven track record as vital educators and growth strategists within the home care industry and its ecosystem partnerships. Our comprehensive suite of education and consulting services drives innovation for navigating ongoing disruptions, capitalizing on emerging growth opportunities, and creating a bold new future.
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