EPISODE · Aug 4, 2022 · 32 MIN
Succeeding Under Medicare Advantage: What Home Health Agencies Need to Know
from Netsmart CareThreads
Tim Rowan, Editor of “Healthcare at Home: The Rowan Report"Mike Dordick, President of McBee and SVP Post-Acute Strategy of NetsmartDawn Iddings, SVP of Post-Acute, NetsmartIt is projected that in two years 50% of Medicare beneficiaries will be enrolled in a Medicare Advantage (MA) plan, and by 2040 that number is expected to rise to 70%. As MA grows its market share among seniors, home-based care providers are battling two business decisions: accept the MA contract and what they feel are unfair reimbursement rates, or reject the rates and lose out on MA contracts and the revenue that comes with it. In this episode, we unpack the biggest challenges and opportunities for home health agencies as they grapple with whether to engage with MA contracts and take on risk. To hear more episodes like this one, look for the Netsmart CareThreads podcast on Apple Podcasts, Google Podcasts, Spotify or your favorite podcast player.
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What this episode covers
The pandemic forced home-based care providers to throw out the old playbook and eliminate “this is the way we’ve always done it” mindset. Now, providers must be able to prove to Medicare Advantage plans that they are not only the lowest cost setting but can also produce the best outcomes. How to do that is the big question. In this episode, three industry experts share the key steps home health agencies must take today to be successful under Medicare Advantage.
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Succeeding Under Medicare Advantage: What Home Health Agencies Need to Know
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