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 […]
People who are 55 years old, and living in a community setting in the U.S., are seeing major disparities when it comes to long-term services and supports (LTSS) needs, a new report from research and advisory firm ATI Advisory found. ATI Advisory found that these disparities exist by examining race, gender and geography. The report […]
Though the vast majority of seniors are living in their communities, as opposed to assisted living or nursing homes, only a third of these individuals are receiving financial support or assistance from Medicaid to pay for home- and community-based services. That’s one takeaway from a recent Kaiser Family Foundation (KFF) webinar. Seniors that aren’t getting […]
Funding for fee-for-service home health care and home- and community-based services ebbs and flows. But the payer source most likely to dictate the future of home-based care providers – across the board – is Medicare Advantage (MA). MA plans aren’t immune to tough rate environments, either. In fact, they’re in one right now. That’s one […]
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 […]
Insurance companies selling Medicare Advantage (MA) plans have been facing increased scrutiny from members of Congress and regulators, with critics of the private version of Medicare claiming carriers are profiting far too much. In light of those sentiments and expected constraints, some believed MA plans could begin trimming their supplemental-benefits packages, which could lead to […]
When the Centers for Medicare & Medicaid Services (CMS) first announced the Guiding an Improved Dementia Experience (GUIDE) Model in late July, there was excitement and an eagerness to learn more from home-based care providers. The goal of the model, according to CMS, is to “support people living with dementia and their unpaid caregivers.” Even […]
The Centers for Medicare & Medicaid Services (CMS) unveiled a new state-focused demonstration model Tuesday. One of the model’s primary objectives is to shift health care spending and utilization more toward primary and community-based care. The States Advancing All-Payer Health Equity Approaches and Development Model (AHEAD Model) will aim to better address chronic disease, behavioral […]
During the height of the COVID-19 pandemic, several new at-home care models were thrust into the spotlight. One of the models — skilled nursing facility care at home, or SNF-at-home — gained a lot of attention as traditional SNFs struggled. Enthusiasm for that model has since waned, especially in comparison to others, like hospital at […]
The Centers for Medicare & Medicaid Services (CMS) unveiled the Guiding an Improved Dementia Experience (GUIDE) Model this week. Stakeholders are already weighing in on how the model may affect home-based care agencies. “We’re very pleased with that announcement, and it is certainly something that we’re going to explore,” Addus HomeCare Corporation (Nasdaq: ADUS) COO […]
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