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


Call to Action: Proposed Cuts Could Deprive Home Health of Necessary Funds

Wednesday, September 20 | Post-Acute Care,Value-based Care

Millions of older Americans could be greatly impacted if the Centers for Medicare & Medicaid Services goes through with its proposed rate cut to the Home Health Prospective Payment system for Calendar Year 2024. One of the most concerning aspects of the proposed rule revolves around its potential impact on home health reimbursement.


Fighting Opioid Addiction—One Life at a Time

Monday, September 18 | Thought Leadership,Human Services,Care Coordination,Cause Connected,Legislative/Policy,Value-based Care

The opioid crisis is one of the most serious healthcare issues in our nation today. But there is hope. We believe there are three strategies your organization can leverage to combat opioid addiction and overdose: integrated care, policy and technology. This blog outlines some examples of all three and lists helpful resources your organization can use.


Question, Persuade and Refer: The Importance of Suicide Prevention Training

Thursday, September 14 | Thought Leadership,Human Services,Netsmart in the Community

By understanding mental health and suicide go hand-in-hand we can take the first step in reducing suicide risk and help heal our families, friends and loved-ones heal and grow forward as a community.