In Rapidly Changing Value-Based Care Landscape, Home-Based Care Providers Facing Crunchtime

Home-based care providers avoiding the shift to value-based care are running out of time and excuses. The Centers for Medicare & Medicaid Services (CMS) wants 100% of traditional Medicare beneficiaries and the “vast majority of Medicaid beneficiaries” in accountable care relationships by 2030. Home health providers are already under the Home Health Value-Based Purchasing (HHVBP) […]

Vistria-Backed Value-Based Care ‘Enabler’ tango Helping Providers Get Paid For Total Cost Of Care

tango is on the front lines when it comes to re-defining the dynamic between home health providers and conveners. So much so that the company has dropped the convener descriptor and instead considers itself an enabler. “We’re really after ensuring that providers and payers, or risk-bearing entities, are aligned, and driven to the same objectives,” […]

For Home Care Providers Still Invested In Medicare Advantage Business, Patience Is Wearing Thin

Around 2019, Medicare Advantage (MA) was all the rave among home care providers. That’s because, in 2018 and 2019, two pathways opened for MA plans to provide more benefits to beneficiaries: the primarily health-related benefit pathway and the Special Supplemental Benefits for the Chronically Ill (SSBCI) pathway. Included in those were plenty of areas of […]

CenterWell Home Health, BrightStar Care Hope To ‘Inspire’ New Home Health Nurses Through Pipelines

In recent years, home-based care providers have seen the value in being more hands on when it comes to building home health nursing pipelines. In order to pull this off, several providers have partnered with universities to create programs that will, ideally, lead to wider talent pools. CenterWell Home Health — Humana’s (NYSE: HUM) home […]

Predicting Private Equity’s Involvement In Home Health Care In 2024

Health care’s share of global private-equity (PE) deal count peaked at 13.7% in 2020. Three years later, that number fell to 10.8% — its lowest level since 2015. Compared to the bustling activity of 2021, home-based care dealmaking was mostly sluggish in 2023 and has followed that same trend. The slow year was largely due […]

Facing The Future: Home Health Providers Gear Up For 2024’s Value-Based Care, M&A Landscapes

Home-based care providers have faced many headwinds over the past few years. They’ll continue to do so in 2024. But uncertainty has also plagued providers, and there may be less of that this year. Providers know the threat of fee-for-service Medicare cuts. They know Medicare Advantage (MA) penetration is an unstoppable force. They know staffing […]

As Home Care Billing Rates Rise, Client Retention Becomes A Larger Priority For Providers

As the cost for home care rises, some providers are finding that clients have more of a zero-tolerance policy when it comes to mistakes or mishaps in care delivery or care planning.  With the stakes for client satisfaction arguably higher than ever, leaders of home care companies are leaning into client retention strategies. Generally, Sara […]

Elara Caring CEO Scott Powers: MA Plans Coming To Negotiating Table With More ‘Reasonable Expectations’

When there are as many problems to hurdle in a space such as home health care, leaders have to prioritize. Interestingly enough, not many companies have the same top priorities, however. The priorities are a good reflection of what home health leaders believe will lead to solutions. Their priorities are generally not what you would […]

What CMS Gets Wrong About Referral Rejection Rates In Home Health Care

In light of the increasing need for post-acute care, hospitals are grappling with challenges tied to ensuring patients are directed to the most suitable post-discharge care setting. While referral volume to home health agencies continues to be higher than pre-pandemic levels, rejection rates continue to be a major pain point for providers. Home health agencies […]