Virtual & Home Care
Expert articles and analysis related to virtual & home care.
AI Summary — Last 7 Days
Home- and virtual-care momentum is increasingly split between delivery innovation and tighter public-program oversight: HCTTF’s new case study on Oshi Health’s multidisciplinary virtual GI model positions specialty virtual care as a scalable VBC lever for reducing avoidable utilization, while primary care and specialty societies continue pressing payers to maintain coverage for telehealth, e-consults, virtual check-ins, and e-visits. At the same time, CMS under the Trump administration is signaling a harder compliance posture in Medicaid and post-acute care—freezing new hospice and home health Medicare enrollment, backing an 80-hour Medicaid work requirement despite home-care industry concerns, and advancing HCBS quality measures that providers warn could add administrative burden—while states such as Ohio suspend home health providers amid a fraud crackdown. For ACOs, MA plans, and Medicaid managed care organizations, the week’s pattern is clear: virtual/home-based care remains central to population health and site-of-care strategy, but partners will need stronger compliance, documentation, and outcomes infrastructure to survive a more aggressive payment-integrity environment.
Related Articles
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AAFP Statement - Health Insurance Companies Need to Expand Coverage and Payment of Telehealth, Virtual Check-ins, and E-visits - American Academy of Family Physicians | AAFP
AAFP Statement - Health Insurance Companies Need to Expand Coverage and Payment of Telehealth, Virtual Check-ins, and E-visits  American Academy of Family Physicians | AAFP
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