Home-Based Care

Home-based care is moving deeper into VBC infrastructure as TEAM increases pressure on hospitals to coordinate post-acute care, outpatient services, and home health more tightly, while MA plans and providers are shifting from transactional contracts toward broader home-based partnerships tied to utilization, hospitalization avoidance, and network performance (TEAM impact). At the same time, the Trump administration’s CMS is tightening program integrity—deferring additional California Medicaid home care payments and maintaining moratoria scrutiny—creating a sharper divide between scaled, compliant operators and weaker providers. Strategic positioning is also accelerating around specialized home models, including HHS’s push to expand home dialysis and provider use of AI to reduce hospitalizations, signaling that home-based care is becoming a core site-of-care and risk-management lever for ACOs, MA plans, Medicaid programs, and health systems (home dialysis plan).