Moving Health Home’s Post

Concierge Medicine Is Gaining Popularity Among Older Adults — but Don't Count on Medicare to Pay for Its Biggest Fees Long wait times, rushed appointments, and the long search to find a provider accepting new patients are just a few pain points in the health care system, but concierge medicine in which patients pay an annual membership fee for personalized care could reduce some of the health care hassle, reports Fortune. The average cost of concierge membership ranges from $2,000 to $5,000 annually, and providers involved in these networks work with a smaller number of patients. Jorgensen says membership includes same-day or next-day appointments (in person or virtually); same-day answers to questions; longer visits, sometimes 30 minutes or more; and annual personalized wellness plans, among other services. Most of MDVIP's providers also accept Medicare. Older adults and those with chronic

The 2025 Centers for Medicare & Medicaid Services (CMS) Home Health Admission-to-Service Policy updates the Medicare Conditions of Participation, emphasizing formalized practices already utilized by providers. The policy requires providers to establish and consistently apply a patient admission policy, factoring in patients' needs, agency caseload, staffing levels, and staff competencies. For example, accommodating dementia patients would require staff trained in that area. Providers must document and publicly disclose services offered, updating information as changes occur. While CMS aims to address care access barriers, experts highlight its failure to tackle capacity issues. Data shows 76% of home health referrals were rejected in 2022 due to staffing shortages, with no improvement in 2023. Critics argue that the policy oversimplifies the problem, shifting blame to providers for systemic challenges. Although CMS seeks to curb "cherry-picking" patients, concerns remain about its lack of focus on timely care access and clarity in policy enforcement, leaving core capacity issues unresolved. Our RCM team supports healthcare entities by analyzing referral rejection trends, optimizing capacity management, and improving documentation processes to comply with CMS policies. We implement tailored workflows, enhance staff allocation strategies, and ensure accurate service disclosures, helping providers balance compliance with patient care demands despite staffing and capacity challenges. #HomeHealthServices #HospiceCare #FrontEndServices #BackOfficeSolutions #HealthcareManagement #RevenueCycleManagement #HealthcareCompliance #PatientSupport #CareCoordination #MedicalBilling #ClaimsManagement #PatientEngagement #HealthcareOutsourcing #MedicalCoding #ProviderSupport #CliniqonCare #HealthcareSolutions #PatientCareExcellence #HomeHealthRCM #HospiceBilling Home Health Care News

Value-Based Health Care (VBHC) aims to transform healthcare systems by focusing on patient outcomes and quality of care rather than the volume of services provided. This approach encourages healthcare providers to deliver the most efficient care, potentially leading to improved patient health outcomes and more sustainable healthcare systems. Abstract: Despite growing global support for value-based health care (VBHC), there is no consensus on the best approach for the identification of improvement potential nor on the selection and implementation of improvement initiatives. #unitedseniorassociation #USA #eldercare #FDA #seniorliving #ADA #AI #NIH #patientcare #compliance #hospitals #OIG #healthcare #HHSOIG #digitalhealth #HSS #CMS #assistedliving #nursinghomes #seniorcare #medicare #seniorcitizen #homehealthcare #caregiver #dementia #inhomecare #seniorhealth #kloekorby #alzheimers #mentalhealth

A comprehensive study conducted by Rutgers Health, which analyzed millions of Medicare beneficiaries' records, has identified nine distinct end-of-life care trajectories that older Americans typically follow in their final three years of life. This significant research underscores the critical importance of understanding these patterns, as they provide valuable insights for tailoring interventions that are aligned with individual patient preferences and needs. As the demand for home-based services continues to escalate, it becomes increasingly essential for healthcare professionals and organizations to recognize and adapt to these care trajectories. Learn more at https://ow.ly/ff3B50TQ60I #AgeAtHome #homecare #homehealth

Medicare at Home or in the Doctor’s Office — Seniors Have Options: Medicare’s annual enrollment period (October 15 – December 7) is an important time of year during which Medicare beneficiaries can review their current coverage and evaluate whether they want to remain with their current plan or switch to a new one that is a better fit for their health care needs. If you are interested in what Medicare Advantage plans have to offer, this is a good time to learn more and understand what’s available to you.While evaluating the various offerings, it is also a good time to consider what type of care works best for you and in what setting you feel most comfortable receiving health care. With many new options available, it is worth the time to learn more about what is available to you: Senior-Focused Primary Care Centers. These are stand-alone, primary-care practices designed specifically for seniors, where a care team oversees your health care, including your physical, behavioral and social health needs. The care team at each center is typically led by a primary care physician and often includes access to a nurse, social worker, pharmacist, behavioral health specialist and community engagement team that can help with transportation, food and housing. Both CenterWell and Conviva provide senior-focused primary care, with locations in many regions of the country. In-Home Primary Care. The pandemic has taught us that many things can be taken care of at home, including certain aspects of our health care. Telemedicine and — in some cases — home visits by a physician are increasingly popular choices for those who have routine issues that don’t require a drive to the doctor’s office. From the treatment of diabetes and high blood pressure to physicals and vaccines, organizations such as Heal provide health care from the comfort of your living room. For Medicare beneficiaries, some care providers may also offer medication review, fall-risk evaluation and home visits after a hospital stay. Urgent In-Home Care. Ever feel really sick, when even a drive to the urgent care clinic seems daunting? Receiving urgent care in your home may be an option, so long as your needs are neither life- nor limb-threatening. Where available, companies such as Dispatch Health will assess your need and, within a few hours, if medically appropriate, send a medical team to your home, treat your condition when possible and even call in prescriptions if necessary. Typical urgent issues that can be treated at home include shingles, sinus infections, bronchitis, flu and even food poisoning. In light of the COVID-19 pandemic, be sure to educate yourself about plan options safely by using digital resources, including virtual educational events and one-on-one virtual meetings with licensed sales agents. Beneficiaries can also visit Medicare call 1-800-MEDICARE (800-633-4227), 24… #healthcarenews #DoctorsBusinessNetwork #medicalnews

The rise of in-home alternatives to traditional hospital care is prompting concerns about the potential strain on family caregivers. The hospital-at-home (HaH) model underscores the need to prevent overwhelming caregivers with tasks beyond their capacity and resources. Learn more: https://lnkd.in/gshgmKja

Solutions starting with “we must” -well,99.9% of those proposed -never happen. Why? Legacy Sickcare is serving its masters perfectly. Bigs win.We all lose. Superman is not coming to the rescue with more pay for #PCPs (SMART $:bet on the opposite) lower costs for #medschool(bet opposite here,too)or the tired cry for “more investment in #primarycare” whatever that means to us/outcomes/cost(zero.) The answer always has and will be an unstoppable movement called #directcare Under that falls #directprimarycare (35m members doubling every 30 months) #independentsurgerycenters (640 exist) #independentimaging (3000 take cash pay ) #specialists who take deep discounts on cash pay/same day same for #hospitals who are accepting 130% Medicare with glee for cash pay/same day There are no shortages,waits nor drudgery -No time friction nor money friction which is built into Factory Medicine laden with entrenched extractive Big Middles. If this movement fully replaced legacy costs would drop 20-60%. Outcomes improve equally. Burnout disappears. When I explained this at a conference 2018 when it was under 10m members a doc grabbed my mic and then called me “Snow White in Dreamland”. She was morbidly obese at middle 40-ish and represented the Sickcare/Wealthcare model in so many ways. I said simply “Not everyone is ready for a future where everyone wins.” Here’s where we meet the players making that future. Www.primarycarecures.com Excerpts We must increase investment in primary care and make sustainable changes to the way in which services are reimbursed. In two separate reports — one conducted by the Center for Health Information and Analysis together with Mass Health Quality Partners and another by Blue Cross Blue Shield of Massachusetts — revealed that more than 40 percent of Massachusetts patients have had difficulty accessing health care and 40 percent worry about being able to afford health care. https://lnkd.in/gH5kXjbR

Does Medicare cover Home Health Care? That’s the question posed in this US News & Health Article by Paul Wynn with expert contribution from our host, Lance A. S.. #medicare #medicaid #healthcare #health #homecare #news #articles #story #care #inhomecare #seniorcare #article #contributor #facts #info #information

As more elders shift to privatized Medicare Advantage plans, family caregivers are being hung out to dry. 🚨 A recent JAMA study on differences in home care services between traditional Medicare (TM) and Medicare Advantage (MA) plans should serve as a wake-up call. This cross-sectional analysis found that MA patients received fewer home health visits, had worse functional outcomes, and were more likely to be discharged home into the community compared to TM patients. This translates to increased burdens and demands on caregivers. We cannot ignore the vital economic contributions of caregivers, valued at $470 billion annually - similar to Medicare and Medicaid spending. Yet this shift to MA threatens to erode critical home-based supports 💔, while giving lip service to “care coordination.” With MA penetration growing fastest in rural and underserved counties already facing primary care and mental health shortages, lack of transportation, and other access barriers, this cost-cutting move piles on extra work for caregivers. It defies common sense and decency. We must advocate for caregiver supports and push back against MA barriers to equitable access for rehabilitation and home health services. Caregivers form the backbone of our long-term care system. 💪 When insurer profits are prioritized over patients under MA, caregivers pick up the slack. It’s time to speak up before this short-sighted trend causes irreparable damage. 🔥 What are your thoughts? How has the shift to MA plans impacted home care in your community? I welcome your perspectives in the comments. Together we can build awareness around this crucial issue. #healthcareonlinkedin