Care Coordination & Management
Expert articles and analysis related to care coordination & management.
AI Summary — Last 7 Days
Care coordination activity is concentrating around home- and community-based care as a VBC pressure point: CMS’ TEAM model is creating new partnership opportunities for home health providers in episode-based payment, while rural Missouri providers are expanding the Show-Me High Value Network to keep care local and coordinate across settings. At the same time, utilization-management and access tensions are intensifying—UnitedHealthcare’s removal of prior authorization for 1,700 codes may ease provider friction, but MedPAC’s finding of lower Medicare Advantage home health use is fueling debate over whether MA plans are improving efficiency or constraining access. Medicaid home care faces added uncertainty from projected enrollment declines tied to H.R. 1, making network adequacy, post-acute partnerships, and care management capacity increasingly central for ACOs, MA plans, and risk-bearing providers. TEAM model home health opportunities MedPAC MA home health debate
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