As Older Adults Are Increasingly Isolated, Advocates Call for Medicare Home Care Benefit

The COVID-19 virus has driven much discussion over the best ways to revamp home-based care moving forward. Suggestions as to how to do that have ranged from small tweaks to seismic shifts, from fine-tuning documentation requirements to allowing for direct telehealth reimbursement. While seemingly endless, all of the ideas are valuable, CareAcademy.com CMO and co-founder […]

New Technologies Reshaping the Future of the Home Amid COVID-19

“The future of health care is in the home.” Home-based care operators have been saying and hearing this for years, but the question remains: What does that future look like? And how does the coronavirus possibly reshape that image? Recently, home-based care models have touted their ability to better deal with the COVID-19 crisis, resulting […]

‘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 […]

Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health

Physician leaders from Louisville, Kentucky-based Humana Inc. (NYSE: HUM) and the National Quality Forum have published a joint article in the New England Journal of Medicine examining the role social, behavioral and environmental factors play in overall health — and why those aspects should be incorporated into future payment models.  Published Wednesday, the piece is […]

CMMI Initiatives May Fall Short of Previous Savings Projections

The Center for Medicare and Medicaid Innovation (CMMI) will save far less in the coming years than the Congressional Budget Office (CBO) projected, according to an analysis conducted by Avalere. Avalere, a health care research and consulting firm, estimates that CMMI will save $18 billion from 2017 to 2026. The CBO had projected $34 billion […]

Anthem, Aspire Exec Brad Smith to Lead Medicare’s Innovation Center

The Centers for Medicare and Medicaid Innovation (CMMI)’s new director is Brad Smith, the U.S. Department of Health and Human Services (HHS) announced Monday. Previously, Smith co-founded and worked as the CEO of the home-based palliative care provider Aspire Health before it was sold to national insurance giant Anthem in May 2018. He most recently […]