Thanks to impactful, large-scale transactions over the last decade, the collective face of home-based care has changed forever. Traditional providers in both home health care and personal home care have merged. Payers became involved in the home-based care space like never before. Of late, retailers have too. But it’s often easy to forget how the […]
Grand opening, grand closing. Hospice providers began to work with Medicare Advantage (MA) via the Value-Based Insurance Design (VBID) demonstration in 2021. At the end of 2024, the “hospice carve-in” model will cease. This will have an impact on home health providers who offer hospice services, obviously. But the failure of hospice’s fit within VBID […]
Artificial intelligence is likely to be a society- and business-altering technological development. But, just like the advent of the internet before it, AI’s emergence will undoubtedly lead to as many empty promises from business leaders as it does actual use cases. That’ll particularly be the case in the early innings of AI, which I believe […]
As home health patients become sicker and more complex, providers have been forced to find ways to keep their care models financially viable. In order to combat some of those “acuity creep” challenges, industry leaders are leaning on technology, data-driven decision making and more value-based care. “We continue to navigate through a very regulated industry,” […]
Home-based care providers have faced many headwinds over the past few years. They’ll continue to do so in 2024. But uncertainty has also plagued providers, and there may be less of that this year. Providers know the threat of fee-for-service Medicare cuts. They know Medicare Advantage (MA) penetration is an unstoppable force. They know staffing […]
Home health providers have griped with their Medicare Advantage (MA) plan partners for years over poor rates, claim denials and increased administrative burden. Providers have stopped short of banding together to deny coverage for these plans, but some of the top companies have reallocated capacity to “preferred payers.” In the end, though, it may not […]
The Medicare Payment Advisory Commission (MedPAC) recommended that the Medicare base payment rate for home health care be reduced by 7% for CY 2025. The recommendation is another chapter in the contentious relationship between the commission and the home health industry. It also recommended that Congress eliminate any payment updates for hospice providers in 2025. […]
Home health providers’ battle for fair reimbursement from Medicare Advantage (MA) plans will be a “generational battle,” and not one they will win overnight. But, at least for larger home health providers, their strategies in that battle are much more definitive than they were even a few years ago. Luke James, the president of VitalCaring, […]
Scroll down to watch: HHCN’s 2024 Final Home Health Payment Rule webinar The final payment rule for 2024 reaffirmed that, no matter the amount of on-the-ground testimonials or data the home health industry lays out, the U.S. Centers for Medicare & Medicaid Services (CMS) is going to continue gaslighting providers. CMS has a hard job, […]
The discussion around home health provider-Medicare Advantage (MA) plan relationships has gotten tiring. But is it over the top? I don’t think so. Right when I think I’ve written about the topic too much, I’m reminded again by a home health provider just how important it is. And if you don’t believe me, here’s National […]
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