States with the Most ‘Primarily Health-Related’ Medicare Advantage Opportunities for Home Care Agencies

With hundreds of plans reportedly offering in-home support services in 2021, the coming year is certain to bring more Medicare Advantage (MA) opportunities for home care agencies. But some home care operators will have more opportunities than others due to geographic variability across the MA landscape. To find leads, agency leaders will need to understand […]

Number of MA Plans Offering In-Home Support Services to Increase by 93% in 2021

The U.S. Centers for Medicare & Medicaid Services (CMS) last month released new Medicare Advantage (MA) figures highlighting a massive expansion of plans offering home-focused supplemental benefits in 2021. The agency shared additional data on Wednesday — and it now appears the ongoing home care MA movement is even bigger than originally anticipated. “These benefit […]

As In-Home Care Providers Embrace Medicare Advantage, They’ll Need to Better Manage Vulnerable Populations

For years now, the U.S. health care system has steadily moved away from a fee-for-service environment toward value-based care. Medicare Advantage (MA) growth reflects this shift, particularly when it comes to the wide spectrum of home-based care. Currently, the average home health agency gets about 55% of its funding from fee-for-service Medicare, Medicare Payment Advisory […]

Disrupt Podcast #33: Anne Tumlinson, CEO of ATI Advisory

The 33rd episode of our podcast, Disrupt, is now available! Home care agencies nationwide are eager to partner with Medicare Advantage plans, but doing so is easier said than done. However, mid-year flexibilities recently announced by CMS instantly opened up new opportunities for providers. In this episode of Disrupt, you’ll hear from Anne Tumlinson, CEO […]

New CMS Medicare Advantage Rule Creates Incentives for Providers to Invest in Telehealth

The Centers for Medicare & Medicaid Services (CMS) announced Friday it has finalized changes to Medicare Advantage (MA) and Medicare Part D. The changes — detailed in a final rule for 2021 — partly seek to strengthen access to telehealth services, an increasingly important component of the health care system amid the ongoing coronavirus emergency. […]

‘Rare Flexibility’ for Medicare Advantage Plans Could Lead to Home Care Inflection Point

The Centers for Medicare & Medicaid Services (CMS) has granted further flexibility to Medicare Advantage (MA) plans to offer more benefits to beneficiaries during the COVID-19 crisis. For home care providers, that could mean more business opportunity. The Special Supplemental Benefits for the Chronically Ill (SSBCI) program was announced in 2019 for the 2020 plan […]