Category: Better Medicare Alliance

  • OIG: MA Plans Inappropriately Shifting Care into the Home, Denying Providers Payment

    Medicare Advantage (MA) organizations have limited beneficiaries’ access to necessary care. They have also denied payments to providers for services that are covered under Medicare rules, as well as MA billing rules. That’s according to a report released Thursday by the Office of Inspector General (OIG). The report examined data over the course of one […]

  • In-Home Support Services Becoming Top Medicare Advantage Benefit

    In-home support services are the most popular — and arguably impactful — supplemental benefit offered by Medicare Advantage (MA) plans under the primarily health-related category. That statement was supported by recently unveiled figures from ATI Advisory. It’s now being emphasized even further, thanks to a new data brief commissioned by the Better Medicare Alliance (BMA) […]

  • Health Plan Investment in Social Determinants of Health Likely to Accelerate

    In recent years, Medicare Advantage (MA) plans have increasingly turned their attention to addressing members’ social determinants of health (SDoH), with the home playing a crucial role. That’s according to a new report from NORC at the University of Chicago. NORC conducted the report on behalf of Better Medicare Alliance’s (BMA) Center for Innovation in […]

  • ConcertoCare Adds Chief People Officer; CMS Appoints Medicaid Director

    ConcertoCare appoints chief people officer ConcertoCare has hired Rachel Grace as its chief people officer. Backed by Deerfield Management Company, the Aliso Viejo, California-based ConcertoCare offers in-home primary care, virtual care and PACE services to dual-eligible seniors and those enrolled under Medicare Advantage. In her new role, Grace will be responsible for developing hiring and […]

  • Xavier Becerra Confirmed as HHS Secretary

    The U.S. Senate on Thursday narrowly confirmed California Attorney General Xavier Becerra as the next secretary of the Department of Health and Human Services (HHS). It did so by a 50-49 margin, with the vote playing out almost entirely along party lines. Sen. Susan Collins of Maine was the only Republican who voted to confirm […]

  • Rural Access to Home Health Services, PACE Among Lawmakers’ Future Spending Priorities

    U.S. lawmakers have repeatedly highlighted a need to rethink the nation’s long-term care landscape in recent months, partly in response to the COVID-19 pandemic but also because of the country’s rapidly changing demographics. A recently published budget report from the House Appropriations Committee obtained by Home Health Care News offers further insight into that call […]

  • Top Clinical Conditions Targeted by Medicare Advantage Plans Under SSBCI

    The number of health plans offering some kind of innovative supplemental benefit skyrocketed in the past year, reflective of health care’s increasingly strong focus on the home and social determinants of health. That’s according to a new data brief from actuarial consulting firm Milliman, commissioned by the Better Medicare Alliance (BMA). “This analysis provides unique […]

  • MA Beneficiaries See Nearly 20% Fewer Home Health Days Than Traditional Medicare Peers

    Under the Trump administration, federal health care policymakers have long been vocal about the ability of Medicare Advantage (MA) to lower costs and improve outcomes among vulnerable populations. A recent report from the Washington, D.C.-based Better Medicare Alliance (BMA) and consulting firm Avalere Health is now putting hard numbers on that claim, particularly around home […]

  • Medicare Advantage Enrollment Up 125% Among Dual-Eligible Beneficiaries

    In-home care providers with a mission to serve particularly vulnerable populations often target “dual eligibles,” or individuals signed up for both Medicare and Medicaid benefits. The focus on dual-eligible populations is partly driven by mission and values, but it’s also supported by reimbursement. While in-home care providers sometimes struggle operating purely in the Medicaid long-term […]