The Centers for Medicare & Medicaid Services (CMS) announced a new voluntary model Tuesday – centered around primary care providers – that could offer home-based care providers more opportunity to dive into risk-based care. Dubbed the ACO Primary Care Flex Model (ACO PC Flex Model), it will provide one-time advanced shared savings payments and monthly […]
Category: Value-Based Care
CenterWell President Dr. Sanjay Shetty knows home health care is an extremely valuable service. Unlike many other leaders, he’s in the position to prove it. For close to a year now, Shetty has led Humana’s (NYSE: HUM) health care services division, which includes CenterWell Home Health, CenterWell Primary Care and CenterWell Pharmacy. Previously, he was […]
In order to be successful moving forward, home-based care providers will need to understand the value-based care landscape and be prepared to operate in this space. That’s one key takeaway from a new report released by Transcend Strategy Group, an at-home care-focused growth strategy firm. The report is an overview of value-based care’s history, as […]
Andrew Molosky, the president and CEO of Chapters Health System, is keenly aware of the struggles that coincide with turning a large health care provider organization into a value-based one. The first priority in that situation, in his mind, is making sure that the entire organization is on the same page in terms of what […]
Not even two years ago, Alivia Care CEO Susan Ponder-Stansel was open and honest about the challenges her organization would face on its journey toward risk- and value-based care. Now, it’s still on that journey, but much further along. The company’s story is one of promise, one that shows home-based care providers can become risk-bearing […]
Home-based care providers avoiding the shift to value-based care are running out of time and excuses. The Centers for Medicare & Medicaid Services (CMS) wants 100% of traditional Medicare beneficiaries and the “vast majority of Medicaid beneficiaries” in accountable care relationships by 2030. Home health providers are already under the Home Health Value-Based Purchasing (HHVBP) […]
tango is on the front lines when it comes to re-defining the dynamic between home health providers and conveners. So much so that the company has dropped the convener descriptor and instead considers itself an enabler. “We’re really after ensuring that providers and payers, or risk-bearing entities, are aligned, and driven to the same objectives,” […]
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 […]
Generally, staffing has taken the cake as the No. 1 issue home-based care providers are facing heading into any year. But, in 2024, changing payment dynamics have become a formidable rival to recruiting and retention concerns. When home-based care professionals were tasked with providing the “greatest challenge” facing them in the new year, 58% responded […]
Generally, home health agencies have expressed dissatisfaction with payment rates and reimbursement policies set by managed care companies. Negotiations around rates can often be contentious. In 2024, however, providers can win with the correct focuses in mind. “You don’t want a managed care strategy; you want a value-based care strategy,” Anne Tumlinson, founder and CEO […]
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