ATLANTA (January 7, 2022)—Sharecare, a digital health company that helps people manage all their health in one place, announced that more than 400 Medicare Advantage plans—including several of the nation’s largest payers—are exclusively leveraging its home health platform and network of caregivers, CareLinx by Sharecare, to scale in-home care supplemental benefit programs in 2022.
Medicare Advantage
WASHINGTON, D.C. (November 23, 2021)—Bipartisan legislation introduced in the United States Senate would ease, standardize and speed the process of prior authorization in Medicare Advantage plans.
Switching seniors to Medicare Advantage plans has cost taxpayers tens of billions of dollars more than keeping them in original Medicare, a cost that has exploded since 2018 and is likely to rise even higher, new research has found.
Answers to 5 pressing questions about Medicare Advantage
WASHINGTON, D.C. (September 30, 2021)—The Centers for Medicare & Medicaid Services (CMS) announced the Calendar Year (CY) 2022 participants in the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model. There is a more than two-fold increase in the number of model enrollees covered by participating MA plans in 2022 compared to 2021.
HOLLYWOOD, Fla. (August 16, 2021)—Woundtech, a wound management company serving Medicare Advantage health plans and at-risk senior care provider groups, announced that Brian Wise has been named as its chief executive officer. Brian Wise succeeds Founder Jeffrey Galitz, MD who will continue as a member of the board of directors and advise the company on strategic and clinical direction.
Guide your MA & MCO customers so you can be reimbursed properly
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.