Generally, home health agencies have expressed dissatisfaction with payment rates and reimbursement policies set by managed care companies. Negotiations around rates can often be contentious. In 2024, however, providers can win with the correct focuses in mind. “You don’t want a managed care strategy; you want a value-based care strategy,” Anne Tumlinson, founder and CEO…

Often the key to solving a troublesome problem is approaching it from a different direction. As 19th-century mathematician Carl Gustav Jacob Jacobi wisely noted (and as popularized by renowned investor Charlie Munger), “Invert, always invert.” Therefore, when we consider ways to transform our current health care system in the U.S. to deliver more reliable, equitable,…

No ‘one-size-fits-all’ strategy Practice infrastructure can be a significant factor in the success of musculoskeletal value-based care models. Value-based care models aim to improve the quality of health care while controlling costs, often by shifting from fee-for-service reimbursement to payment models that reward health care providers for delivering high-quality, best outcomes and cost-effective care.

Abstract Introduction Value-based healthcare (VBHC) focusses on increasing value for patients. Hospitals aim to implement VBHC via value improvement (VI) teams for medical conditions. To determine the patient’s perspective on value, collective patient participation is important in these teams. We therefore evaluated the current state of patient participation in VI teams and share lessons learned….

In today’s home health landscape, value-based purchasing is part of the race to the top. Agencies know that in order to achieve certain financial success, the outcomes have to be there. “Providers know that everybody’s getting better,” LTM Group CEO David Kerns told Home Health Care News. “That’s the whole idea of the program. If…