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, […]

Home-Based Care Ally Adam Boehler to Leave CMMI

A key ally for home health providers and a major proponent of value-based care may be leaving his federal post. The Trump administration revealed late Wednesday it has nominated Adam Boehler — director of the Center for Medicare & Medicaid Innovation (CMMI) and a senior adviser to the secretary of the U.S. Department of Health […]

Home Health Industry Reacts to CMS Value-Based Primary Care Initiative

Health care policymakers on Monday unveiled a new voluntary risk-based initiative designed to reward physicians who keep patients at home and away from hospitals. Based upon the work of previous administrations, the new initiative marks a major inflection point for the value-based transformation of the U.S. health care system, according to Department of Health and […]

Landmark Lands Insurance Collaborations After Sale Rumors

Landmark Health—the private equity-backed in-home medical company recently rumored to be up for sale—has entered into a new care-delivery collaboration with Blue Shield of California and one of its subsidiaries. As part of the collaboration, Landmark will work with Blue Shield of California and subsidiary Care1st Health Plan to offer “the 21st century version of house […]

Independence at Home Saves Medicare 10 Times More than ACOs

Home-based primary care is a huge money saver for Medicare, and its advocates are pushing for the Independence at Home (IAH) program to become permanent, with a few changes. IAH is a demonstration project from the Center for Medicare & Medicaid Innovation (CMMI) that is testing the delivery of primary care services at home. Selected […]