Care Delivery Innovation
Expert articles and analysis related to care delivery innovation.
AI Summary — Last 24 Hours
Home-based and post-acute care are facing a sharper VBC paradox: policymakers are signaling support for shifting more care into the home, but DOJ has named home health and hospice among top fraud-enforcement priorities, increasing compliance and documentation risk for MA plans, ACOs, and home-based care partners using these services to manage total cost of care (DOJ enforcement priorities). At the same time, PACE expansion is running into Medicaid funding concerns in new states, underscoring that even proven integrated-care models for dual-eligible, high-need populations remain vulnerable to state budget constraints and rate-setting uncertainty (PACE funding risks.
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