Rubicon’s Adam Boehler: Home Health, Hospice Are ‘Underappreciated’ Tools for Slashing Health Care Spending

One of the nation’s former CMS Innovation Center leaders is getting back to his entrepreneurial roots to reimagine how health care is delivered in the U.S. Former Center for Medicare and Medicaid Innovation (CMMI) Director Adam Boehler announced earlier this month the launch of Rubicon Founders, a Nashville, Tennessee-based investment firm focused on “building and […]

Pause to Alternative Payment Models Gives Some Providers a ‘Golden Ticket,’ Leaves Others Behind

The Global and Professional Direct Contracting Model — a Center for Medicare & Medicaid Innovation (CMMI) creation — has been put on pause. The holdup is just another example of CMMI pumping the brakes on an alternative payment model in the days since the Biden administration took over the executive branch.   Broadly, the Global and […]

CMS Hospital-at-Home Program Closing In On 200 Participants

The hospital-at-home concept was developed long ago, but did not gain popularity until the COVID-19 crisis. And while its stalling was due to logistical and reimbursement problems, experts believe it’s finally here to stay. For home health and home care providers, that means another area to deliver their expertise and increase their bottom lines. As […]

‘Let’s Find Solutions That Work’: Care Advantage, Anthem Pioneer Pay-for-Performance Agreement for LTSS

In the post-acute care world, value-based contracting can be fairly straightforward. Sick patients are discharged from the hospital, home health agencies are brought in to help them recover, and then they’re paid appropriately based on how well those people recover. But value-based care is frequently much more complicated and murkier in long-term care, particularly when […]

Why COVID-19 Has Made Universal Design More Important for Seniors, Home-Based Care Providers

Seniors overwhelmingly prefer to age in place. That preference has only grown following the COVID-19 pandemic and a general shift toward home-based care, making home safety more important than ever. But for a home to be safe for seniors and caregivers alike, it must adhere to building best practices, including universal design. Broadly, universal design […]

Long-Term Care Expert David Grabowski: Home-Based Care Versus Nursing Homes Is a ‘False Dichotomy’

Long-term care providers have always had to stay on top of ever-changing shifts in trends, policies and regulations. The COVID-19 emergency has only made this task even more important. In today’s fast-paced environment, Harvard Medical School professor David Grabowski has turned into a major voice. Since last year, Grabowski has applied his expertise to a […]