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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. -
The race to value-based care is heating-up. In today?s healthcare landscape, value-based care is a hodge-podge of models. However, as we track changes to the healthcare infrastructure and payment reform, we see the escalation from fee-for-service models to value-based models supported by an increase in greater risk-sharing models. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
2019 is likely to bring major changes to Conditions of Participation (CoPs) of the Medicare Program for hospitals for discharge planning, including patients? right to freedom of choice of providers. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
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. -
Each year, we compile The Remington Report Top 20 list of America?s largest publicly held home healthcare companies. It?s our way to recognize some of the players in our industry, to reflect on the year and to hopefully identify some trends that may impact the future. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
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. -
The roadmap transforming the healthcare delivery system takes shape with five key examples affecting home care company?s future. 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. -
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. -
Participating ambulance suppliers and providers will have greater flexibility regarding where and how a beneficiary receives care following an emergency. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Capacity Coaching is a new strategy for patients living with chronic conditions. Here are key roles, tools, and core competencies. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Introduced in House (10/26/2017): H.R.4143 - Dialysis Patient Access to Integrated-care, Empowerment, Nephrologists, Treatment, and Services Demonstration Act of 2017 or the Dialysis PATIENTS Demonstration Act of 2017 This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The Advisory Opinion raises a number of significant questions for home care providers. Perhaps most importantly, the Advisory Opinion seems to completely ignore questions about state licensure and scope of practice. 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. -
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. -
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. -
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. -
This is the second article in series to discuss how to promote the growth of in-home community-based organizations and accelerate relationships with payers. The first article published in The Remington Report's July/August issue, pages 4-8, focused on the home health aide workforce: How Real Time Actionable Data Leverages New Value For Home Health Aides and Stakeholders. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
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. -
The first two years of the Comprehensive Care for Joint Replacement (CJR) saved Medicare more than?$1,00 per episode. CJR, a five-year Medicare program rolled out in 2016, pays participating?hospitals for hip and knee replacements by episode of care: from admission to 90 days post discharge. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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