Headlines

Post-Acute Shifts Focus From Volume To Value

Last week, the American Health Care Association and National Center for Assisted Living hosted the first Population Health Management Summit which focused primarily on how the healthcare landscape is shifting from volume to value. Medicare Advantage plans, positioned to drive payment and delivery reform, are expected to become the dominant form of Medicare by the

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What If More Patients Were Sent Directly To Skilled Nursing Facilities?

Three health networks in Boston formed an accountable care organization (ACO) this year, the Beth Israel Lahey Performance Network (BILPN). This ACO sees an opportunity in sending patients directly to a skilled nursing facility (SNF) without requiring a three-day hospital stay. BILPN’s three-day waiver program is meant to provide a path for patients who don’t

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Home Health Becoming Most Likely Post-Acute Referral Destination

According to the 2019 Industry Trend Report from Trella Health, skilled nursing facility (SNF) admissions are dropping across the country while home health agencies have become the most likely post-acute referral destination. Some states have seen a decline in SNF admissions anywhere between 14% and 26%. For more on this, see the article below. View

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Managed Care Enrollment Up 10% This Decade

Managed Care continues to grow! This decade, there has been a 10% increase in Medicare Advantage enrollment for all eligible beneficiaries. For more on this and how the majority of seniors are more than satisfied with Managed Care, see the article below. View Article Here

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Hospitals Demand National Standards For Prior Authorizations

Hospitals are demanding national standards for prior authorizations regardless of which Payer they are working with. Hospitals often believe they have followed the required steps and process flawlessly, only to discover their claim was denied. This inevitably leads to a painful and lengthy appeals process. This article addresses the pain points many providers are feeling

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