Why 2020 Will Launch the Medicare Advantage Boom in Home Care

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 […]

Payers See Home Health Providers as ‘Commodities,’ Industry Leaders Say

Home health care is still not being recognized for its inherent value in reducing hospitalizations and curbing health care costs by payers, which often view providers more as commodities than trusted partners.  “Where are we in home health?” Bruce Greenstein, chief strategy and innovation officer at LHC Group Inc. (Nasdaq: LHCG) said Monday during a […]

Amedisys Exec: Payers’ Interest In Home-Based Care ‘Higher Than Ever’ — But Misconceptions Remain

For years, many in the health care industry considered non-medical home care the black sheep of the family, if part of the bloodline at all. The important intervention proven to help keep seniors out of the hospital and cut health care costs was often written off as a luxury service — and even labeled “non-skilled,” […]

NAHC’s Dombi: CMS Needs to ‘Back Off’ RAP Proposal, PDGM Assumptions

The looming Patient-Driven Groupings Model (PDGM), a potential hospice carve-in under Medicare Advantage (MA) and the expanding Review Choice Demonstration (RCD) are just a few of the developments reshaping the current landscape of home health and hospice. As if those three items aren’t enough, providers are also facing the continuing Value-Based Purchasing Model (VBPM), emerging […]

Traditional Medicare May Trump Medicare Advantage in Reducing Readmissions

Despite previously reported findings, traditional Medicare may have a better track record of lowering hospital-readmission risk compared to the Medicare Advantage (MA) program. While the re-hospitalization difference appears to be small, it’s an important observation for home health providers, especially those that work closely with MA plans. New insights into re-hospitalization rates in Medicare and […]

Lyft Gets Medicaid Certification in Quest to Address Social Determinants of Health

Medicaid beneficiaries in one state can now use Lyft (Nasdaq: LYFT) as a covered transportation option to get to and from medical appointments. The San Francisco-based ride-hailing company announced Wednesday that it has become a certified Medicaid provider in Arizona, where it aims to help address social determinants of health by reducing missed doctor’s visits […]

Aetna Working with CareLinx to Provide In-Home Services to Members

So far, health plans have been relatively tight-lipped about their strategies for offering in-home services and supports to members under expanded Medicare Advantage (MA) policies. They now appear to be finding their voice. On Wednesday, Aetna Medicare publicly announced for the first time it has teamed up with CareLinx and its nationwide network of more […]