The new Medicare Advantage opportunity for home care providers will break out in 2020 and boom in 2021. But while providers are already building the infrastructure and the partnerships necessary to capitalize on this enormous play, three major red flags remain. For Medicare Advantage (MA) to fully benefit from the power of home care, these […]
Key takeaways A pair of CMS rule expansions in 2018 and 2019 have created new opportunities for home care providers to partner with Medicare Advantage plans Home care providers have the chance to help MA plans reduce hospitalizations and readmissions For MA plans offering in-home support to members, personal care will be the most sought […]
The recent rule changes to Medicare Advantage (MA) from Centers for Medicare & Medicaid Services have created a level of flexibility and creativity for home care participation that is nearly unchecked. For example, the final call letter for MA plan year 2020 notes that “MA organizations have broad discretion” in determining what’s called the “Special […]
The Medicare Advantage revolution continues to grow — and starting in 2020, home care providers will reap the rewards. Through a series of law changes over the past decade, including the Patient Protection and Affordable Care Act of 2010 and the Bipartisan Budget Act of 2018, Medicare’s move away from fee-for-service models and toward value-based […]
The Medicare Advantage (MA) expansions that the Centers for Medicare & Medicaid Services (CMS) announced this year and in early 2018 open the door to creative applications of non-medical home care services designed to proactively improve individuals’ health. The pair of new rules, with the broader of the two taking effect in 2020, have led […]
When the Centers for Medicare & Medicaid Services (CMS) announced it would allow Medicare Advantage (MA) plans to cover certain non-medical home care services in 2019, interest was tepid, with only 3% of plans actually covering those benefits. So it is no surprise that a subsequent expansion for 2020 brought questions about just how much […]
HHCN needs your help! Take this three-question survey about your Medicare Advantage goals in home care — and help our staff generate unique insights for our readers. Responses and analysis will be published on HHCN in the coming weeks. Survey time is under two minutes. Respondents will be entered to win a $100 Amazon gift […]
A biomedical engineer and a health care entrepreneur have teamed up to improve wound care with a product designed to prevent infection and reduce the need for some post-acute care, including home health. FM Wound Care, LLC, based in Trenary, Michigan, is awaiting U.S. Food and Drug Administration approval on a nitric-oxide-infused, self-sterilizing wound dressing designed to kill […]
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