• CareCentrix

    PDGM/PDPM Payment Models: The Impact on Home Health

    Described as the biggest Medicare reimbursement overhaul in 20 years, the recent changes to the Centers for Medicare and Medicaid’s (CMS) payment models have caused a lot of buzz. The reason for all the hype is the transition towards a more value-based system and away from the fee-for-service status quo. The intent behind these administrative changes, commonly known as the Patient-Driven Payments Model (PDPM) for skilled nursing facilities (SNFs) and the Patient-Driven Groupings Model (PDGM) for home health care, is to improve the quality of patient care, promote the overall health and wellbeing of the Medicare Advantage population, and lower healthcare costs.

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  • CareCentrix

    Medicare Advantage Plans and Home Care in 2020

    MA plans are an alternative to traditional Medicare, encompassing inpatient, outpatient, and prescription drug benefits. In 2018, CMS announced that MA plans would expand to cover home-based services as well. The new plans include several new services that are available to millions of MA plan members. Since their introduction in 2010, MA plans have become increasingly popular among Medicare recipients, and the additions planned for 2020 will likely add to this enthusiasm.

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  • CareCentrix

    Medicare Advantage’s Supplemental Benefits

    As the healthcare climate pivots from fee-for-service to value-based payment models, Medicare Advantage benefits are expanding to include a broader scope of offerings. Insurers are slowly realizing that the value of offering these benefits is far greater than paying for treatment costs, including time spent in high-cost, acute care facilities, once a patient’s illness becomes more severe.

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  • Stethoscope-on-american-flag

    5 Highlights from 2019 in Healthcare: The Forest for the Trees

    When looking back on 2019’s healthcare news stories, the famous expression regarding the forest for the trees comes to mind. Remembering the distinction between the two is important, as focusing too much on the healthcare headlines of the day may result in missing the bigger picture.

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  • rows-of-homes

    Power Outages and Care at Home

    On November 21, 2019, California’s major power utility, Pacific Gas and Electric (PG&E) announced that its latest round of systematized power outages had concluded and they would begin restoring power to the (more than 40,000) Northern California residents who had been without power for the duration of the week. For thousands of Californians, the outages were more than just a mere inconvenience, and for many, being unable to access electricity is a matter of life and death.

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