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 […]
Medicare Advantage (MA) plans are now allowed to tout the benefits they will be offering their members in 2023. Home-based care providers should be “delighted” at what the preliminary data shows. That’s according to Tyler Cromer, a principal at the Washington, D.C.-based research and advocacy organization ATI Advisory. Specifically, in-home support services (IHSS) will be […]
Individuals that are enrolled in both Medicare and Medicaid — otherwise known as dual beneficiaries — utilize home health care at higher rates than those who are only beneficiaries of Medicare. That’s according to a recent report from ATI Advisory, with support from Arnold Ventures. The report is a profile of the growing population of […]
Home-based palliative care is an untapped business opportunity for many home health and hospice providers in the U.S., but multiple factors continue to hinder near-term scalability. Data on the availability of home-based palliative care is limited, so it’s difficult to pinpoint just how large the market really is. Experts familiar with the space have previously […]
Despite the growing demand for home health services, fraud and abuse guardrails often limit access to the Medicare benefit, a recent Bipartisan Policy Center (BPC) report suggests. The report highlights BPC’s recommendations for the U.S. Centers for Medicare & Medicaid Services (CMS) on how to improve home health services for Medicare fee-for-service beneficiaries. “Given the […]
Compared to fee-for-service Medicare, seniors save close to $2,000 on average in total annual health care spending with Medicare Advantage (MA). That’s according to a new study — based on 2019 Medicare Current Beneficiary Survey data — from Better Medicare Alliance. The study features an analysis conducted by the Washington, D.C.-based research and consulting firm […]
New data relating to Special Supplemental Benefits for the Chronically Ill (SSBCI) has been released. And while there are plenty of kinks to work through before these benefits become a significant revenue driver for home-based care agencies, their increasing popularity is undoubtedly encouraging. The Centers for Medicare & Medicaid Services (CMS) unveiled a pathway for […]
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