Not even two years ago, Alivia Care CEO Susan Ponder-Stansel was open and honest about the challenges her organization would face on its journey toward risk- and value-based care. Now, it’s still on that journey, but much further along. The company’s story is one of promise, one that shows home-based care providers can become risk-bearing […]
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) […]
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,” […]
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 […]
Generally, staffing has taken the cake as the No. 1 issue home-based care providers are facing heading into any year. But, in 2024, changing payment dynamics have become a formidable rival to recruiting and retention concerns. When home-based care professionals were tasked with providing the “greatest challenge” facing them in the new year, 58% responded […]
Generally, home health agencies have expressed dissatisfaction with payment rates and reimbursement policies set by managed care companies. Negotiations around rates can often be contentious. In 2024, however, providers can win with the correct focuses in mind. “You don’t want a managed care strategy; you want a value-based care strategy,” Anne Tumlinson, founder and CEO […]
Over the years, Humana Inc. (NYSE: HUM) has been vocal about prioritizing value-based care. On Wednesday, it released its annual “Value-Based Care Report,” which affirms why its been crucial to the company’s Medicare Advantage (MA) beneficiaries. Overall, MA members who are getting care through value-based arrangements received more time with their primary care physician. These […]
Despite the fee-for-service rate environment, Addus Homecare Corporation (Nasdaq: ADUS) is bullish long term on home health care, which represents its smallest segment of business. But that doesn’t tell the whole story. What Addus is really in on is home health care alongside personal care, which it can offer across Illinois, New Mexico and Tennessee. […]
Home health providers are adjusting their operations to better set themselves up for value-based care. One thing they need to be sure of, though, is that those adjustments are making their way down to the front line. “From an agency standpoint, providers are thinking as their reimbursement model changes, how are we being judged against […]
Diving into value-based arrangements with payers always sounds good, in theory, for home health providers. But it is easier said than done. Providers have to commit to value-based care, but even before that, they need to do their homework to be successful over the long haul. Moving away from fee-for-service and moving toward risk through […]
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