Tag: Value-Based Care
Value-based care: Embrace generic writing
August 5, 2024Kaitlyn Rios
Q. How can providers better support HME companies in value-based care models when it comes to wound care order writing and diagnosis listing in the medical record?
A. Generic order writing is really the key here. With thousands of wound care products on the market and new HME companies cropping up daily, one can imagine it becomes increasingly difficult for the key players in the industry to keep up. When providers implement generic wound product order writing as routine practice, it can significantly...
Value-based care: Keep focus on end user
June 12, 2024Kaitlyn Rios
Q. What can HME companies do to differentiate themselves to payers in terms of supporting value-based care?
A. Remember: Value-based care is generally defined as a shift from traditional fee-for-service payment models to a provider payment system that supports quality improvement and cost-effective care to ensure successful health outcomes and experiences for patients. Various iterations of this model are already in effect in some market segments, while others are still actively updating...
Value-based care: Be prepared and nimble
May 8, 2024Kaitlyn Rios
Q. How is the shift to value-based care payment models impacting HME companies?
A. The better question is, "How will it not?"
With clinical providers focused now more than ever on patient outcomes and satisfaction, it means they must maximize resources, they must aim to treat patients more effectively and efficiently in shorter time frames, they must work under tighter insurance reimbursement margins, and they must make every effort to reduce the overutilization of products...
In brief: Legislation moves forward, VBC lowers costs, Yuricich retires
November 17, 2023HME News Staff
WASHINGTON – The Energy & Commerce Health Subcommittee in the House of Representatives has approved two HME-related bills, AAHomecare has reported.
The bills, The DMEPOS Relief Act of 2023 (H.R. 5555) and The Choices for Increased Mobility Act (H.R. 5371), will now move to the full E&C Committee for consideration in the coming weeks, the association says.
“This is a major step forward for our priority legislation in the House,” said Tom Ryan, AAHomecare president...
Humana: Value-based care lowers costs
November 15, 2023HME News Staff
LOUISVILLE, Ky. – Value-based care lowers costs and keeps Medicare Advantage members healthier, according to the 10th annual Value-Based Care Report released today by Humana.
The 2023 report shows that MA patients receiving care under value-based arrangements spent more time with their primary care physician and were more likely to receive preventive care, with fewer hospitalizations.
According to the report, VBC enables:
A team-based holistic approach...
Tomorrow Health shows results
November 2, 2023HME News Staff
NEW YORK – Tomorrow Health recently released new data with Geisinger Health Plan that shows an 83% reduction in care and supply delivery times since March 2021. The company is using the data to illustrate how improving home-based care delivery can have measurable impacts on health plan costs, member satisfaction and overall health outcomes for patients. "We are grateful to work with Geisinger to improve the home-based care experience for over 600,000 members in Pennsylvania," said Vijay Kedar,...
Walgreens, Pearl Health expand value-based care
September 13, 2023HME News Staff
DEERFIELD, Ill. & NEW YORK – Walgreens and Pearl Health, which offers technology and insight solutions that it says empowers clinical teams to provide holistic, personalized treatment, have formed a partnership to accelerate the expansion of value-based care in collaboration with community-based primary care physicians. Walgreens, a division of Walgreens Boots Alliance, will provide complementary services, including prescription fulfillment, medication adherence, immunizations, care gap closure...
In brief: Lincare settlement, value-based vs. fee-for-service, Beyond HME COO
August 30, 2023HME News Staff
SPOKANE, Wash. – Lincare has agreed to pay $29 million to resolve claims that it violated the False Claims Act by overbilling Medicare and Medicare Advantage, according to a press release from Vanessa Waldref, the United States Attorney for the Eastern District of Washington.
The settlement requires Lincare to refund wrongful payments made by Medicare beneficiaries and sets up accountability measures to prevent future fraudulent billing.
In the settlement announced Aug....
Study: Consumers unclear on value-based vs. fee-for-service
August 28, 2023HME News Staff
NEW YORK – Employers and consumers are unclear of the difference between value-based care and fee-for-service payments, but when given the definition of value-based payments, prefer it, according to a study from EmblemHealth, a nonprofit insurer.
"The survey data and information from our research demonstrate that both employers and consumers overwhelmingly prefer value-based care to fee-for-service payment models when they better understand the differences between each model,"...
Health care ‘transformation’ drives infusion market
June 2, 2023Theresa Flaherty, Managing Editor
YARMOUTH, Maine – As value-based care gains steam, home infusion companies are increasingly making moves to bulk up their size and offerings, say M&A analysts.
“All of these folks are positioning to be a solution for value-based care, and no one is sure how it will shake out, but they know they need to partner with someone to get bigger in order to be attractive to payers,” said Pat Clifford, managing director, home medical equipment, for The Braff Group.
The biggest,...