ATI Advisory

Pause to Alternative Payment Models Gives Some Providers a ‘Golden Ticket,’ Leaves Others Behind

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The Global and Professional Direct Contracting Model — a Center for Medicare & Medicaid Innovation (CMMI) creation — has been put on pause. The holdup is just another example of CMMI pumping the brakes on an alternative payment model in the days since the new… Read More »Pause to Alternative Payment Models Gives Some Providers a ‘Golden Ticket,’ Leaves Others Behind

Not a ‘Temporary Blip’: Home Health Agencies Gaining Greater Share of Hospital Discharges

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The anecdotal claims from home health insiders were true: Across the country, home health agencies gained a greater share of discharges from short-term acute care hospitals during the public health emergency. Specifically, the percentage of patients discharged into home health care rose 1.8% from March… Read More »Not a ‘Temporary Blip’: Home Health Agencies Gaining Greater Share of Hospital Discharges

Number of MA Plans Offering SSBCI ‘Social Needs Benefit’ Up 568% in 2021

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In September, the U.S. Centers for Medicare & Medicaid Services (CMS) released high-level data suggesting a huge expansion of new Medicare Advantage (MA) supplemental benefits for 2021. CMS followed that up with specific information on MA supplemental benefits under the “primarily health-related” pathway a month… Read More »Number of MA Plans Offering SSBCI ‘Social Needs Benefit’ Up 568% in 2021

UnitedHealthcare Advances Home Strategy, Expects to Make 1.7M House Calls in 2020

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A number of major Medicare Advantage (MA) carriers are expanding their supplemental benefit offerings shaped around in-home care next year. UnitedHealthcare, the insurance arm of UnitedHealth Group (NYSE: UNH), is among them. Overall, UnitedHealthcare partners with more than 1.3 million physicians and care professionals across… Read More »UnitedHealthcare Advances Home Strategy, Expects to Make 1.7M House Calls in 2020

States with the Most ‘Primarily Health-Related’ Medicare Advantage Opportunities for Home Care Agencies

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With hundreds of plans reportedly offering in-home support services in 2021, the coming year is certain to bring more Medicare Advantage (MA) opportunities for home care agencies. But some home care operators will have more opportunities than others due to geographic variability across the MA… Read More »States with the Most ‘Primarily Health-Related’ Medicare Advantage Opportunities for Home Care Agencies