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 […]

Harvard Medical School’s David Grabowski: PDGM Is a ‘Brave New World’

The post-acute care sector is still a long ways away from the implementation of a unified payment system, but the Patient-Driven Groupings Model (PDGM) may be a step in that direction. That’s according to Harvard Medical School professor David Grabowski. As a professor in the department of health care policy, Grabowski’s work is concentrated on […]

HHCN Research: Personal Care Services Projected to Dominate Home Care’s 2020 Medicare Advantage Involvement

The Medicare Advantage (MA) expansions that the Centers for Medicare & Medicaid Services (CMS) announced this year and in early 2018 open the door to creative applications of non-medical home care services designed to proactively improve individuals’ health. The pair of new rules, with the broader of the two taking effect in 2020, have led […]