Guide your MA & MCO customers so you can be reimbursed properly
Medicare Advantage
MIRAMAR, Fla. (April 12, 2021)—onehome, a leader in post-acute home-based care (PAHC), is partnering with Devoted Health, one of the fastest-growing Medicare Advantage companies in the United States, to expand care to Devoted Health's members in Arizona, Ohio and San Antonio, Texas.
HARTFORD, Conn. (March 9, 2021)—Avalere, an independent health care research and consulting firm, today released its novel analysis of the CareCentrix model of technology-enabled and coordinated whole person post-acute care.
How state leaders navigated stormy seas of advocacy in a COVID-19 world
WASHINGTON, D.C. (November 23, 2020)—Beginning on Jan. 1, 2021, through the VBID Model, participating Medicare Advantage Organizations (MAOs) can voluntarily participate in the Hospice Benefit Component of the Model, according to a November 13 transmittal (10458/CR 12045) from the Centers for Medicare & Medicaid Services (CMS).
WASHINGTON, D.C. (September 29, 2020)—The Centers for Medicare & Medicaid Services (CMS) released the list of Medicare Advantage (MA) plans that will participate in the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model during Calendar Year (CY) 2021 and information about the 2022 application process for eligible MA organizations.
NASHVILLE, Tenn. (September 24, 2020)—PlayMaker Health, a post-acute sales enablement and business intelligence platform, today announced the launch of the new Medicare Advantage Data Sets with Physician and Payer Insights solution.
NEW YORK (September 3, 2020)—Aetna, a CVS Health company, and Landmark Health and its affiliated medical groups (Landmark) announced today a new relationship to bring physician-led services into the homes of Aetna’s Individual Medicare Advantage members living in New York with chronic health conditions. Service areas will be focused in the New York City boroughs and Long Island and further extend to Albany, Rochester, and Buffalo.
WASHINGTON, D.C. (June 9, 2020)—On June 2, 2020, the Centers for Medicare & Medicaid Services (CMS) announced plans to modify aspects of various innovation models being administered by the Centers for Medicare & Medicaid Innovation (CMMI) in response to COVID-19 public health emergency (PHE).
WASHINGTON, D.C. (June 3, 2020)—As announced first in January 2019, starting in calendar year (CY) 2021 (and through CY 2024) the Centers for Medicare & Medicaid Services (CMS) will begin a demonstration program under the Value-Based Insurance Design (VBID) model to test coverage of hospice care as part of the Medicare Advantage (MA) benefit package.
WASHINGTON, D.C (May 29, 2020)—The Centers for Medicare & Medicaid Services (CMS) has released the Medicare Program: Contract Year 2021 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program, with important information about the special election period for hospice beneficiaries.
NASHVILLE, Tenn. (April 3, 2020)—PlayMaker Health, a post-acute sales enablement and business intelligence platform, announced its Q3 2019 Post-Acute Market Data Update, containing Home Health and Hospice data released in February 2020 with claims through September 30, 2019.
Change is on the way for home health
Consider your contracting strategy
AMSTERDAM (December 5, 2019)—Royal Philips, a provider health technology, today announced a collaboration with Humana Inc., a health and well-being company in the U.S., to help improve care and health outcomes for select high-risk Medicare Advantage members.
By Susan Jaffe
WASHINGTON, D.C. (June 7, 2019)—At least a quarter of a million Medicare beneficiaries may receive bills for as many as five months of premiums they thought they already paid.
But they shouldn’t toss the letter in the garbage. It’s not a scam or a mistake.
BALTIMORE and PLEASANTON, Cali. (May 22, 2019)—Insightin Health has announced a new solution expected to help lower the cost of health care for health plans, providers and consumers by creating a healthier Medicare Advantage population.
SILVER SPRING, Md. (April 1, 2019)—LifeMatters, a homecare and care management company dedicated to improving the quality of at-home care and reducing the overall cost of health care, announced the appointment of Daniel M. Gold as its chief operating officer. Gold is a health care industry expert with strong operational, business and leadership abilities.
WASHINGTON, D.C. (February 22, 2019)—Over the past two and a half years, AAHomecare’s payer relations efforts have helped stop or limit proposed Medicaid reimbursement cuts in dozens of states, limited the spread of sole-source and narrow-network contract arrangements, and successfully lobbied TRICARE to provide retroactive relief for HME reimbursements based on the 2016 CURES bill.
Technology eases communication across care settings
BURLINGAME, Calif. (December 5, 2018)—CareLinx, an online home caregiver network, announced the national launch of Medicare At Home. The product enables Medicare Advantage plans to safely and efficiently enhance their supplemental benefits with non-skilled homecare.
(December 4, 2018)—On October 26, 2018, CMS issued Contract Year (CY) 2020 Medicare Advantage and Part D Flexibility Proposed Rule CMS-4185-P. The rule updates Medicare Advantage (MA) and Medicare Part D by promoting flexibility and innovation so that MA and Part D sponsors are empowered with the tools to improve quality of care and provide more choices.