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 […]
Centers for Medicare & Medicaid Services (CMS)
The COVID-19 crisis has uprooted the health care sector and done away with most norms that existed beforehand. That goes for the workers who make up the sector, too. One developing trend to keep an eye on as home-based care plays a bigger part in keeping at-risk seniors safe is the migration of more nurses […]
The U.S. Centers for Medicare & Medicaid Services (CMS) and the White House announced a new round of regulatory flexibilities aimed at improving care for seniors during the coronavirus Thursday. Home health agencies, however, were largely left out of the picture — again. In its announcement, CMS outlined steps it is taking to increase access […]
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 […]
Prior to the onset of the COVID-19 crisis, the Medicare Advantage (MA) landscape looked like a promising business opportunity for in-home care providers. That was, in part, thanks to two major expansions of MA supplemental benefits in 2018 and 2019. But the U.S. is now more than a month removed from a coronavirus public health […]
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 […]
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 […]
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 […]
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 […]
Programs for All-Inclusive Care for the Elderly (PACE) organizations were given much-needed operational clarity on Tuesday, as the Centers for Medicare & Medicaid Services (CMS) finally announced a new rule to update and modernize program requirements. The new rule — the first major update to the PACE program since 2006 — will likely lead to […]
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