The Duality Of In-Home Health Risk Assessments

In-home health risk assessments and in-home health evaluations are a key part of Medicare Advantage (MA) plans’ strategy. On one end, they help recognize member needs, and help connect those members to other health care services. On the other end, they help boost MA plan profits, quite considerably. A recent study published in Health Affairs […]

Home Health Spending Begins To Climb Again Post-Pandemic

After stalling in 2021, spending on home health care returned to a more normalized growth rate in 2022, according to a new analysis from the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). Specifically, national health expenditures on home health care increased by 6% to $132.9 billion in 2022. In […]

How Home-Based Medical Care Is Utilized In Traditional Medicare, Medicare Advantage

There are significant differences in home-based medical care utilization between Medicare Advantage (MA) and traditional Medicare beneficiaries. Specifically, having exactly one home-based medical care visit was 31 times as likely for MA beneficiaries, at 18.6%, compared to traditional Medicare beneficiaries at 0.6%. That’s likely, in part, due to incentives in the MA program to code […]

Home Health Spending Flat As Health Care Utilization Rebounds

Spending on home health care stayed mostly flat in 2021, a new analysis from the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS) reveals. The steady spending on home health care last year came despite a sharp dip in government funding tied to the public health emergency (PHE). The decrease […]

Fee-For-Service Payment Remains Dominant Model In Health Care

Although value-based payment models are trendy in the home-based care space right now, a new study shows that a majority of all health care payments are still based on fee for service. The study was conducted by the Health Care Payment Learning & Action Network (LAN), which found that advanced value-based payment models are still […]

Why Hospitals with Nearby Home Health Agencies Have Higher Readmission Rates

A new study from researchers at Vanderbilt University Medical Center found that hospitals with a greater local supply of home health agencies were associated with increased readmissions. One of the reasons readmission rates were higher in those areas may be due to frequent staffing changes and other interruptions in care, according to the study’s lead […]

National Home Health Spending Dips to $129.1 Billion as Health Care Sector Normalizes

U.S. health care expenditures ballooned in 2020 because of the COVID-19 pandemic, but they’re starting to normalize. National home health spending, in turn, experienced a comparatively small decline over the past year. That’s according to the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS), which published its annual spending analysis […]

Home-Based Care Still an ‘Undertapped’ Resource for Seniors with Complex Health Needs

Policymakers should focus on home-based care services and payment model improvements in order to address the unique needs of people with complex health issues. That’s according to a new analysis published by Health Affairs, which took a closer look at the opportunities to improve and expand home-based care through value-based payment (VBP). Experts at the […]

High-Quality Home Health Agencies ‘Out of Reach’ for Vulnerable Medicare Patients

High-quality home health agencies are often out of reach for the most vulnerable Medicare patients, new findings published Monday in the journal Health Affairs reveal. Typically, patients receiving home health services from high-quality agencies – those that do well on star ratings – experience fewer hospitalizations and other adverse health events. But Black, Hispanic and […]

Home Health Workforce Has Rebounded from Pandemic Lows, But Not Entirely

Nurse employment data during the first 15 months of the COVID-19 pandemic shows that the health care labor market tightened overall, but certain workers and settings were affected more than others. That’s according to a new analysis published by Health Affairs on Tuesday that analyzed aggregate data from the U.S. Bureau of Labor Statistics from […]