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 […]
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 […]
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 […]
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 […]
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 […]
Everyone in home-based care wants to get further into value- and risk-based contracting. No one can agree on the best way to do so. Some providers believe that honing in on just one or two core service lines – like home health and hospice care, for example – is the best way to go. Others […]
In the midst of the first full performance year for the expanded Home Health Value-Based Purchasing (HHVBP) model, providers are figuring out where they are succeeding and where there is room for improvement. HHVBP continues to save hundreds of millions of dollars each year, according to the U.S. Centers for Medicare & Medicaid Services (CMS). […]
UnitedHealth Group (NYSE: UNH) is making value-based care the centerpiece of its long-term strategy, and home-based care is a key piece of that puzzle. “[Value-based care] delivers on the promise of high-quality clinical outcomes and experiences at lower cost than traditional models,” UnitedHealth Group CEO Andrew Witty said during the company’s third-quarter earnings call Friday. […]
The Centers for Medicare & Medicaid Services (CMS) wants to move health care providers toward value-based care, as do private payers. Home-based care providers have begun to adjust accordingly. However, participation in value-based arrangements should not be the be-all and end-all. “I would argue it’s relatively easier to get providers to sign up for value-based […]
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