‘Silver Tsunami’ Swells Medicare Rolls, Home Health and Hospice Admissions

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America’s rapidly aging population is swelling the ranks of Medicare beneficiaries and increasing admissions for hospice and home health in the process, according to the new Excel Health Quarterly Industry Trend Report 2018. Hospitals are still discharging most of their patients with no post-acute care services or to skilled nursing facilities, but strong growth in […]

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Future of Home Health & Hospice will be Full of Challenges and Opportunities, Says Fred Bentley of Avalere

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The “silver tsunami” — about 10,000 Americans turning 65 every day — that has been a recurring topic at NAHC Report, is still a few years away from crashing, but that day is approaching and while the demographic change holds great promise for a generation unwilling to be shunted into institutional care, policymakers are likely […]

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MedPAC Report Considers Unified PAC Payment System, Finding Best Providers

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The Medicare Payment Advisory Commission (MedPAC report released on June 15, 2018 included refinements to their proposed unified post-acute care prospective payment system and for greater patient usage of high quality post-acute care providers. The refinements to a unified post-acute care prospective payment system would focus on increasing Medicare payment accuracy for patients involved in […]

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CMS Issues Guidance on New Medicare Advantage Plan Benefits

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The Centers for Medicare & Medicaid Services (CMS) has issued two memos to the Medicare Advantage (MA) Plans with instructions on changes for contract year 2019. One memo relates to the expanded interpretation for health related benefits that plans will be permitted to offer their enrollees, such as home based support services. The second memo addresses […]

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Home Care Aid/Personal Care Services Allowed for Medicare Advantage Plans

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Medicare Advantage plans may allow home care aid/personal care services as a supplemental benefit beginning in 2019, according to a final rule issued Monday by the Centers for Medicare & Medicaid Services (CMS). The rule is the first time CMS has permitted supplemental benefits that include daily maintenance in Medicare Advantage plans. According to the […]

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NAHC Submits Comments on Medicare Advantage Call Letter

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On February 2, 2018, the Centers for Medicare & Medicaid Services (CMS) proposed changes to the Medicare Advantage (MA) program in the 2019 Call Letter. These changes increase flexibility to allow more options and new benefits to Medicare beneficiaries enrolled in MA plans. As a part of these changes, CMS is redefining health-related supplemental benefits […]

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CMS Okays Non-Skilled Home Care Benefit in Medicare Advantage

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The Centers for Medicare & Medicaid Services (CMS) announced Thursday afternoon that non-skilled in-home care will be included in Medicare Advantage plans in 2019 as a supplemental benefit. “Our priority is to ensure that our seniors have more choices and lower premiums in their Medicare health and drug plans,” CMS Administrator Seema Verma said in […]

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NAHC Urges CMS to Fix its Medicare Open Enrollment Outreach and Education

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The National Association for Home Care & Hospice (NAHC) has joined like-minded organizations in sending a letter to Seema Verma, the Administrator of the Centers for Medicare & Medicaid Services (CMS), asking her to correct misleading public outreach and education around the current Medicare open enrollment. Open enrollment is an opportunity for beneficiaries to choose […]

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What Medicare Advantage Plans Want From Home-Based Care Providers

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Medicare Advantage (MA) has provided tailwinds for home-based care providers, as the overall MA member population has grown substantially over the last decade. In 2020, there were over 24 million MA members in the U.S., over double the amount there were in 2010 and nearly five times the amount in 2005, according to Centers for […]

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Home Care Providers Likely to See More Medicare Advantage Opportunities as Enrollment Grows

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The Medicare Advantage (MA) program has carved out a larger role in the general Medicare universe over the last several years. The MA piece of the pie is projected to grow even further, giving home care providers plenty of opportunities to step into this space. The number of beneficiaries who have chosen MA in lieu […]

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