Home health providers have griped with their Medicare Advantage (MA) plan partners for years over poor rates, claim denials and increased administrative burden. Providers have stopped short of banding together to deny coverage for these plans, but some of the top companies have reallocated capacity to “preferred payers.” In the end, though, it may not […]
Blue Cross Blue Shield of Massachusetts is getting rid of one of the biggest pain points for home health providers: prior authorization. The change will eliminate more than 14,000 authorizations, according to the company. Broadly, patients being discharged from the hospital to home health care will not need advanced approval. The types of care that […]
Dr. Sachin Jain – the CEO of SCAN Health Plan – is a provocateur on the topic of home-based care. I’ve talked to him in the past about his concerns with value-based care, for instance, at a time when value-based care is almost ubiquitously championed. In a closed-door discussion on Thursday, Jain offered more of […]
When it comes to end-of-life discussions, there tends to be a major disparity between thought and action. In Massachusetts, for example, 85% of residents believe that patients and their doctors should discuss end-of-life care—but only 15% of them have actually had these conversations. The figure doesn’t rise much for people who have serious illnesses—only about a […]
Home Health Care News will be out of the office on Dec. 31 and Jan. 1 to celebrate the New Year. We’ll return to our regular posting schedule on Jan. 4. Here’s to 2016! To tide you over, here’s what’s been happening in the home care industry the past week. Most Read 12 States Urge […]
The largest health insurer in Massachusetts has announced it will soon provide some of the most comprehensive end-of-life benefits in the country, with expanded hospice and home care as a likely outcome. And the insurer’s CEO had personal reasons for doing so. Starting Jan. 1, 2016, Blue Cross Blue Shield of Massachusetts will cover more […]
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