Highlights opportunities for long-term care providers to leverage federal and state flexibilities to adopt new ways of delivering services to older adults and people with complex needs, as well as addressing barriers to care created by the COVID-19 pandemic.
Details the proactive approach of Cambridge Health Alliance, a public ambulatory care and hospital system in the Boston area, to initiate goals of care conversations with high-risk patients in their respiratory clinic.
Explores opportunities for Medicare Advantage plans to provide non-medical supplemental benefits during COVID-19 — including in-home supports, meal and grocery deliveries, home modifications, and transitional supports — to help Medicare beneficiaries shelter at home.
Melanie Bella, former director of the Medicare-Medicaid Coordination Office at the Centers for Medicare & Medicaid Services, explores implications of COVID-19 to influence the future landscape for integrating Medicare and Medicaid services.
When the COVID-19 pandemic struck, One Community Health partnered with OCHIN to rapidly transform its care delivery model, implementing new virtual care tools to safely and effectively serve vulnerable patients with complex needs through the pandemic and beyond.
Features a conversation with Lori Tishler, senior vice president of medical services at Commonwealth Care Alliance, who shares how CCA is rethinking its day-to-day practice to address the COVID-19 pandemic.
Highlights how skilled nursing facilities are switching to the Patient Driven Payment Model — a payment system that removes therapy minutes as the basis for payment and enhances payment accuracy for services by making reimbursement dependent on a wide range of clinical characteristics.
For frail older adults with complex care needs, an inpatient hospital stay is destabilizing and often marks the beginning of a decline in functioning. For these older adults and their families, the post-hospital period is a risky, confusing, and stressful time.
For the past 20 years, the fundamentals of health care delivery have remained largely unchanged. Health plans rely on cost-shifting and utilization management to bend the cost curve, and doctors and hospitals accept lower prices in exchange for increased patient volumes.