The Centers for Medicare & Medicaid Services (CMS) announced a new voluntary nationwide dementia care model on Monday. Dubbed the Guiding an Improved Dementia Experience (GUIDE) Model, its goal is to “support people living with dementia and their unpaid caregivers.” But the ramifications of the new model, which is set to go live on July […]
Getting to the negotiating table with Medicare Advantage (MA) plans and coming away with a good deal is tough enough for even the biggest players in home health care. For smaller providers, it’s an even more daunting and intimidating task. However, there are steps those smaller providers can take in order to become more attractive […]
When Medicare Advantage (MA) plans began offering expanded supplemental benefits, it opened the door for more engagement with home care providers. Flashforward to 2023, and nearly a quarter of plans are offering some level of in-home support services. That’s according to Tyler Overstreet Cromer, principal at the Washington, D.C.-based research and consulting firm ATI Advisory. […]
Home care providers have complained about Medicare Advantage (MA) becoming a more mainstream payer source. Still, many have begun to work with MA plans for the first time over the past few years. But now, there’s concern that the government’s crackdown on MA could restrict opportunities even further, particularly when it comes to supplemental benefits. […]
Since the Centers for Medicare & Medicaid Services (CMS) began allowing Medicare Advantage (MA) plans to offer supplemental benefits, those benefits’ popularity has skyrocketed. Those benefits, broadly, fall into two categories: Expanded Primarily-Health Related Benefits (EPHRB) and Special Supplemental Benefits for the Chronically Ill (SSBCI). Their existence alone has changed how home care providers interact […]
After the public health emergency was declared in March of 2020, hospital discharges bottomed out the following month. While they ticked back up in 2021 and 2022, they still remain 25% lower than they were in February of 2020. And while home health care gained a greater share of post-acute referrals compared to skilled nursing […]
Medicare Advantage (MA) only became a real opportunity for home care providers five years ago. That is when the Centers for Medicare & Medicaid Services (CMS) introduced primarily health-related benefits, allowing for agencies to step in and provide personal care for beneficiaries on a limited basis. Since then, MA plans have continued to expand these […]
Home health and home care operators grappled with numerous challenges in 2022 that impacted their businesses, from COVID-19 cases spiking due to the Omicron variant in the first quarter to labor pressures persisting throughout the year. For many providers, those headwinds turned their attention to maintaining growth, fine-tuning existing operations and avoiding loss, with service-line […]
More individuals are having to take on what’s known as the second or third shift — caregiving duties in addition to being employed. At the same time, there has been an increase in Medicare Advantage (MA) plans offering home-based care, including respite services, coinciding with this rise of informal caregivers. For context, informal caregivers are […]
Ahead of the annual enrollment period Medicare Advantage (MA) organizations have been offering a peek into what benefits they’re offering seniors in 2023. Notably, many will give their beneficiaries access to home-based care services. Now, ATI Advisory is sharing exactly how many have made these services available to seniors. The number plans offering in-home support […]
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