Changing Payment Dynamics Are Forcing Home-Based Care Providers To Level Up In Value-Based Care

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 […]

‘You Want A Value-Based Care Strategy’: Tips For Home Health Providers In A Managed Care World

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 […]

Humana’s Plans For Value-Based Care, Home Health M&A

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 […]

‘Plans Are Very Bullish’ On Addus’ Value-Based Care Proposals, Leaders Say

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 Beginning To Tie Clinician Compensation To Value-Based Care Success

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 […]

‘Do The Homework’: What Home Health Providers Need To Know Before Sitting Down With Payers

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 […]

Stronger Personal Care Hiring Is Paying Dividends For Addus

Addus HomeCare Corporation (Nasdaq: ADUS) has reduced turnover and delivered on important acquisitions over the past few months. Still, a home- and community-based services (HCBS) proposed rule is hanging over its head. That rule, of course, includes the 80/20 provision, which would see the Centers for Medicare & Medicaid Services (CMS) mandate that 80% of […]

Home Health Agencies Made The HHVBP Model Demonstration A Resounding Success

In the first six years of the Home Health Value‐Based Purchasing (HHVBP) Model demonstration, the nine participating states saved Medicare $1.38 billion, a 1.9% decline relative to the 41 non‐HHVBP states. That’s according to a new study from the U.S. Centers for Medicare & Medicaid Services (CMS) that evaluated the first six years of HHVBP […]

How A Smaller Home Health Provider Goes Big On Value- And Risk-Based Contracting

Small- and mid-sized home health providers are aware of the disadvantages they face compared to their larger peers. They’re also recognizing, however, that they can use the flexibilities they do have to their advantage. Take value-based care as an example. Large providers typically have more resources at their disposal to invest in the infrastructure needed […]

Why Advocate Health Is Ripe For Home-Based Care Innovation

While many health systems offloaded ancillary service lines following the pandemic, Advocate Aurora Health and Atrium Health doubled down on home-based care. Those companies merging, and creating “Advocate Health,” has created one of the largest health systems in the U.S. But the merger has also formed an organization with a strong and wide commitment to […]