Hospice Leaders Applaud MA Carve-In Approach — But Also Voice Concerns

Hospice leaders are, for the most part, encouraged by the move to explore a Medicare Advantage (MA) carve-in for hospice through an expanded demonstration. But several questions remain, they caution, with the bulk of them focusing on whether the hospice benefit could somehow be diluted or lessened. The Centers for Medicare & Medicaid Services (CMS) […]

[Updated] CMS to Test Hospice Carve-In Under Medicare Advantage

The Medicare Advantage (MA) carve-in that many industry insiders pegged as “inevitable” has finally arrived. The Centers for Medicare & Medicaid Innovation (CMMI) on Friday morning announced it is expanding the MA Value-Based Insurance Design (VBID) model, using VBID to test out several wide-ranging updates to MA offerings, including a hospice carve-in set to take […]

Amedisys CEO: Financial Risk, Tech Innovation, PDGM Top of Mind for 2019

Baton Rouge, Louisiana-based Amedisys Inc. (Nasdaq: AMED), one of the largest independent home health care companies in the country, had a successful 2018 and is looking to maintain the momentum in the year ahead. The company’s ambitions include a heightened focus on risk-taking arrangements with payers and building on the tech investment it made in […]

Aetna, Heal Bring Doctor House Calls to Atlanta Market

Technology startup Heal is teaming up with insurance giant Aetna — now a CVS Health Corporation (NYSE: CVS) company — to bring doctor house calls to one of the United States’  largest markets. Already available throughout California, parts of Virginia and Washington, D.C., Los Angeles-based Heal announced Tuesday that it is expanding to the Atlanta […]

How to Protect Against Home Care Clients, Caregivers Cutting Out Agencies

Shortly after Jocelyn Mayo founded Pampering Plus, a Pennsylvania-based company that provides medical and nonmedical at-home services, a caregiver and private-pay client struck a deal to continue working together while cutting the agency out of the picture. Luckily, buyout agreements previously made with both parties helped Mayo recoup some of her losses.   “[The client] […]

The Top Trends in Home Health Care for 2019

2018 was a banner year for the Medicare-certified home health care industry. Big providers got even larger through creative mergers and acquisitions. Admissions and utilization numbers held strong. New telehealth opportunities started to emerge. And, in general, revenues remained high. The upcoming year brings much uncertainty, however, with the main culprit being the Patient-Driven Groupings […]

Specialized At-Home Cancer Program Reflects Larger Health Care Trends

In December, the University of Utah’s Huntsman Cancer Institute (HCI) launched a new program aimed at bringing hospital-level care into patients’ homes. The program allows patients to be discharged sooner and avoid costly emergency department visits. Dubbed “Huntsman at Home,” this initiative is the latest instance of health care’s shift to the home and the […]

‘Drive to Home,’ Medicare Changes Are Creating More Integrated Senior Care

In years to come, cross-continuum collaboration and the formation of integrated care delivery models that keep people away from hospitals will be the main catalysts for lowering U.S. health care spending. For senior housing, assisted living and independent living providers, in particular, that makes establishing relationships with home- and community-based partners all the more important. […]

Telemonitoring May Cut Costs, Not Hospital Admits, for Heart Patients

Telemonitoring has long been touted as a way to reduce hospitalizations. But when paired with home health care for heart failure patients, that may not always be the case. Still, there are reasons — from both a cost and outcomes perspective — for home health providers to consider implementing telemonitoring for this patient group. That’s […]