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Home Telehealth Care

Expert articles and analysis related to home telehealth care.

200 articlesLast 30 Days

AI Summary — Last 30 Days

Home-based care is being pulled in two directions: CMS under the Trump administration is tightening program integrity and payment discipline—pausing new Medicare home health and hospice enrollments in targeted markets and moving to stricter Medicaid Section 1115 budget-neutrality and state-directed payment limits—while providers try to expand home-based VBC models amid MA prior authorization friction and Medicaid rate pressure. For ACOs, MA plans, and home health partners, the strategic issue is whether home-based care can remain a scalable population-health lever when upstream denials, rehab access barriers, and fraud enforcement increase administrative risk and cash-flow uncertainty. At the same time, evidence from the federal Home Health Value-Based Purchasing program and specialty models like Oshi Health’s multidisciplinary GI approach suggest that tightly managed, outcomes-oriented virtual and home-enabled care can reduce disparities and total-cost exposure if contracts align incentives around longitudinal management rather than visit volume (Medicare home care framework; Oshi GI model case study).

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