Access to home- and community-based services (HCBS) has increased over the last few years. But, despite some of the spotlight that the current administration has shone on HCBS, there is still a lot of work to be done to unlock the full potential of these services. “The reality of the funding aspect of Medicaid does […]
Category: Medicaid
When it comes to long-term care services and home-based care, some states are much further ahead than others. But one thing most of those states agree on is that there’s still room to improve. Last month, when AARP released its long-term services and supports state scorecard report, Minnesota came out on top, ranking number one […]
The end of certain pandemic-era policies could have dire effects on family caregivers and home- and community-based services (HCBS) enrollees. Family caregivers played a key role in supporting the estimated 4 million people who utilized Medicaid-based HCBS during the pandemic. Several states used pandemic-era authorities to pay family caregivers in order to maintain services when […]
Honor make four new additions to its leadership team Four new executives recently joined Honor’s leadership team. The new additions to the team include: Linn Free, who was named senior vice president of operations; Stefan Haney, who was named senior vice president of growth technology; Mark Privett, who was named vice president of design; and […]
Home- and community-based services’ (HCBS) fee-for-service (FFS) payment structure could be having adverse effects on beneficiaries. That’s according to a new report published in Health Affairs, which suggests that too much in-home care could be a detriment to a beneficiaries’ independence and long-term outlooks. Unlike value-based payment models, FFS can prioritize quantity over quality. The […]
A new report from the Kaiser Family Foundation shines further light on how popular home- and community-based services (HCBS) are in the U.S. It also makes clear how much cheaper HCBS delivery is for states in comparison to institutional-based care. In 2020, Medicaid programs spent an average of $36,275 per individual on HCBS. They spent […]
A proposed rule from the U.S. Centers for Medicare & Medicaid Services (CMS) – which would require at least 80% of Medicaid reimbursement for home- and community-based services go toward worker compensation – received over 2,100 submissions during its public comment period. Many of the comments included gratitude and appreciation for CMS regarding its efforts […]
The cost of out-of-pocket home care services in the U.S. has steadily risen. As a reaction to that, some providers are proactively relying less on their private-pay revenue streams. While costs have gone up, so has revenue. Private-pay home care providers generally bill two times more than what they pay caregivers, meaning they can hand […]
Home-based care providers working with Medicaid managed care plans have to navigate an operating environment that is more administratively complex. That’s one of the key takeaways from a recent webinar hosted by the National Association for Home Care & Hospice (NAHC). Since 2020, states like North Carolina, Oklahoma and Idaho have implemented managed care programs. […]
Home-based care providers — both big and small — are struggling at the negotiating table with Medicare Advantage (MA) plans. But they’re also struggling in negotiations with managed Medicaid plans. While MA plans and managed Medicaid plans operate a bit differently, providers are having similar issues with both. Proving value to health plan leaders is […]
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