Wednesday, September 07 | Thought Leadership, Post-Acute Care, Value-based Care

Succeeding Under Medicare Advantage: What Home Health Agencies Need to Know

By Dawn Iddings, Senior Vice President & Managing Director, Post-Acute

According to the Centers for Medicare and Medicaid Services (CMS), more than 64 million people are enrolled in Medicare. The fastest-growing segment of the government’s national health insurance program is Medicare Advantage (MA).

It makes up more than 42% of the total Medicare population. That number is expected to increase to 50% in the next two years and 70% by the year 2040.

Despite that growth, home health agencies are seeing lower payments from MA plans. CMS has also proposed a 4.2% cut in home health services for 2023, forcing agencies to decide if they should accept or reject MA contracts.

Tim Rowan, editor of “Healthcare at Home: The Rowan Report,” joined a Netsmart CareThreads podcast. He says, over several interviews with agencies, he’s heard the same thing: “we cannot continue to do business the way we have been.” He adds that there “has to be a complete re-thinking of ‘what exactly is the process that produces better patient outcomes.’”

Dawn Iddings (SVP of Post-Acute, Netsmart), and Mike Dordick (President, McBee and SVP Post-Acute Strategy of Netsmart) joined Rowan on the podcast.

They discuss the opportunity home health agencies face right now because of the COVID-19 pandemic. They say it highlighted the value of home-based care, and that demand for it since 2020 has only grown.

They admit there will be some challenges for these agencies, including staffing shortages, inflation and increased expenses related to COVID-19. Dordick adds, though, that the challenge may not lie with just the agencies. He thinks the proposed cut by CMS could lead to agencies filing lawsuits against CMS.

They also discuss strategies agencies can employ to succeed in today’s environment. Those include:

  • Technology’s role
  • Options for retaining staff and attracting new employees
  • How data can help agencies make decisions with referrals

To hear their thoughts on Medicare Advantage and how home health agencies can set themselves up for success, click here to listen to the podcast.




Meet the Author

Dawn Iddings · Senior Vice President & Managing Director, Post-Acute

From the CareThreads Blog

Expanding Access to Care for Better Public Health

Thursday, April 06 | Thought Leadership,Human Services,Netsmart in the Community

Barriers to mental health and substance use services continue to be challenging, as the demand for care continues to rise. In fact, 28% of those seeking mental health care and 22% seeking substance use care are unable to find a conveniently located provider, which can be particularly difficult in rural areas. Hear three strategies public health organizations can implement to improve outcomes, boost access to services and increase staff satisfaction.


Continuing the Conversation: Our Commitment to IDD

Tuesday, March 28 | Thought Leadership,Human Services,Netsmart in the Community

Our main focus this Developmental Disabilities Awareness Month has been to focus on recognizing individual abilities and advocating for equal opportunities in education, employment and helping these individuals to live productive, independent lives. By helping providers embrace technology to support IDD staff, they can focus on delivering person-centered care to individuals when and where they need them to live a truly meaningful life.


National Guidelines for Child and Youth Behavioral Health Crisis Care: SAMHSA's Response

Monday, March 20 | Thought Leadership,Human Services

SAMHSA's National Guidelines for Behavioral Health Crisis Care provide key principles for youth crisis services to adopt, including addressing recovery needs, using trauma-informed care, and integrating family and youth peer support services.