CMMI’s Proposed TEAM Model Offers Another Risk-Based Opportunity For Home Health Providers

Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives. The Transforming Episode Accountability Model (TEAM), which would eventually be mandatory if finalized, would have selected acute […]

Certain HHVBP Measures Remain Disconnected From On-The-Ground Home Health Care Delivery

The Home Health Value-Based Purchasing (HHVBP) Model is one of the Center for Medicare and Medicaid Innovation’s (CMMI) only cost-saving successes, which is why it was expanded nationwide on Jan. 1, 2023. Just six of 49 CMMI payment demonstrations have produced savings, with HHVBP standing out in a major way. HHVBP is expected to save […]

CMS Officials Reflect on the Home Health Value-Based Purchasing Model’s Success

Officials from the U.S. Centers for Medicare & Medicaid Services (CMS) are again touting the Home Health Value-Based Purchasing (HHVBP) Model as one of the agency’s most successful programs ever. In a Health Affairs article published Thursday, top CMS officials at CMS — including Administrator Chiquita Brooks-LaSure — looked back at a decade of alternative […]

National Expansion of Home Health Value-Based Purchasing Model Estimated to Create $6.3B in Savings

In somewhat of a surprise move, U.S. health care policymakers unveiled plans last week to expand the Home Health Value-Based Purchasing (HHVBP) Model, a nine-state Medicare demonstration designed to better align reimbursement to quality of care. Despite backing from most of the home health industry, the HHVBP Model — first implemented in 2016 — had […]

CMS Announces New Direct-Contracting Model to Promote ‘Easier Access to Home Care’

In April 2019, federal health care officials unveiled a new direct-contracting payment model to accelerate the shift toward value-based care for U.S. primary care providers. The goal of that model — which has 51 entities already signed up — was to bring a private-sector approach to risk-sharing arrangements in traditional Medicare. The U.S. Centers for […]

Federal Lawmakers Look to Handcuff CMMI

Bipartisan lawmakers introduced a bill on Monday that would increase oversight and require more transparency from the Center for Medicare & Medicaid Innovation (CMMI), the U.S. Department of Health & Human Services (HHS) branch that tests new payment models and delivery options. The bill, dubbed the “Strengthening Innovation in Medicare and Medicaid Act,” could handcuff […]

LHC Group’s Innovation Head: ‘Within 10 Years, We’ll See the End of Fee-for-Service as We Know It’

Thanks to leadership changes at the federal level, the evolution of Medicare Advantage (MA) and a seemingly constant flow of new value-based payment models, providers should begin to plan for the end of fee-for-service Medicare. That’s according to LHC Group Inc. (Nasdaq: LHCG) Chief Strategy and Innovation Officer Bruce Greenstein, who discussed the future of […]

LHC Group Marketing Total Cost of Care to ACOs, Payers

U.S. health care spending soared past $3.6 trillion in 2018, nearly one-fifth of the country’s gross domestic product (GDP). To curb that spending, stakeholders throughout the continuum of care are beginning to think more about “total cost of care” and less about isolated episodes. Some of the largest in-home care providers are among those stakeholders, […]