In this twice-monthly newsletter, you will find updates on how health care organizations are striving to shift more health care delivery into the home – meeting patient needs where they are and expanding access to quality health care.
This newsletter recaps current events and research. Please send any news or events to email@example.com for future inclusion in this newsletter.
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To Keep Older Adults Safe from Suffering Falls, Expand Care in the Home
During the pandemic, home-based care has skyrocketed, which was necessary to help limit exposure and keep older adults safe from COVID-19. Now, as we look to the future, care in the home serves as an opportunity to reduce the number of older adults suffering falls each year.
Outset Medical, a medical technology company pioneering a first-of-its-kind technology to reduce the cost and complexity of dialysis, has joined Moving Health Home, a coalition of innovative healthcare companies seeking to fundamentally change the way policymakers think about home healthcare. “Through collaboration with forward-thinking leaders in the healthcare space, we aim to encourage policymakers to reimagine the home as a site of care for clinical treatment, such as for chronic disease management,” said Krista Drobac, Founder of Moving Health Home. “We are excited to welcome Outset Medical to the coalition, as their drive to empower patients to access home dialysis aligns really well with our goals.”
To view a full summary of the hearing, click here and use the password "ACCESS" to view.
In response to the hearing, Moving Health Home released a press statement.
Moving Health Home will also submit a statement for the record in support of home-based care and additional recommendations.
Centers for Medicare and Medicaid Services (CMS) Issues Guidance for Medicaid Home and Community-Based Services (HCBS) Funding Included in American Rescue Plan (5/13) – CMS issued guidance on how states can receive enhanced funding, provided through the American Rescue Plan Act, to increase access to HCBS for Medicaid beneficiaries. The guidance is a key tool to assist states in leveraging federal resources to increase health equity in Medicaid beneficiaries’ access to HCBS, positive health outcomes, and community integration. The 10-percentage point increase to the federal medical assistance percentage (FMAP) will be available to states, and CMS is providing states three years to expend the enhanced funds that are available – through 3/31/2024. The enhanced funds are calculated using the HCBS expenditures from April 1, 2021, through March 31, 2022.
Research and Polling
Annals of Internal Medicine: Factors Associated With Risk for Care Escalation Among Patients With COVID-19 Receiving Home-Based Hospital Care (5/11) – The COVID-19 pandemic, which has resulted in more than 142 million cases globally, has challenged health care systems to rapidly transform care to address complex and dynamic resource demands. Early in the pandemic, our large integrated health system implemented the Atrium Health Hospital at Home (AH-HaH) program to deliver home-based, hospital-level care to patients with COVID-19 and increase the health system's bed capacity.
News and Market Developments
HealthAffairs Blog: To Improve Care For Patients With Complex Needs, Expand Home Visits (5/11) – Patients with complex needs, including those with multiple chronic conditions, functional limitations, or homebound status, often face major challenges in accessing care. Home-based primary care, the next generation of “house calls” that were common in the first half of the 20th century, can provide an effective solution. A growing body of literature suggests that home visits, whether performed by primary care teams or as part of care management efforts, can improve health outcomes for patients who are frail or have limited mobility.
mHealthIntelligence:Kaiser Permanente, Mayo Clinic to Expand Home-Based Connected Health Program (5/13) – Kaiser Permanente and the Mayo Clinic are planning to expand a relatively new care model that combines telehealth, mHealth and in-person visits to treat acute care patients in their own homes rather than the hospital. The two health systems have announced a $100 million investment in Medically Home, a Boston-based company that has been working with, among others, the Massachusetts General Hospital Cancer Center, Adventist Health and UNC Health on acute care at home programs The investment will help the Mayo Clinic and Kaiser Permanente scale up the connected health platform in their regions.
Home Health Care News: How SNF Operator Masonicare Leveraged Its Home-Based Care Services to Adapt to COVID-19 (5/16) – In the age of COVID-19, companies operating in the senior care space have been forced to be adaptable. It’s in this environment where Masonicare — a skilled nursing facility (SNF) operator — began amplifying its home-based care services while downsizing its facilities. Wallingford, Connecticut-based Masonicare is a not-for-profit senior care provider that operates independent living, assisted living, memory care and continuing care retirement communities (CCRCs) across three main campuses. The company also provides home health, hospice and palliative care, plus homemaker and companionship services. It has seven home-based care branches throughout Connecticut and Rhode Island.
Fierce Healthcare: AdventHealth, DispatchHealth expand at-home acute care partnership to new markets (5/18) – At-home health care startup DispatchHealth has inked a new deal with AdventHealth to bring the former’s technology into Florida and Missouri homes. Announced Tuesday, the deal builds upon an existing Tampa, Florida-based collaboration between the startup and the faith-based health system. It will see new deployments of the service across Florida’s Daytona Beach, Ocala and Orlando as well as the Kansas City metro area. Patients in these markets will be able to use their phone or DispatchHealth’s app or website to request in-home acute medical care for viral infections, COPD exacerbations, congestive heart failure and other conditions ranging in severity, according to the announcement.
Home Health Care News: Hoping to Create an In-Home Care Convener Powerhouse, The Helper Bees Acquires healthAlign (5/18) – The Helper Bees (THB), an “insurtech” company that works with payers and home-based care providers, has acquired healthAlign, a similarly positioned convener also focused on the home. It’s a move that reflects the larger shift of health care services into the home, a trend that provides an opportunity for organizations like THB and healthAlign to create value by making home-based care in the U.S. more organized and effective. Announced Tuesday, the acquisition is effective immediately.
NPR: The Pandemic Proved Hospitals Can Deliver Care To Seriously Ill Patients At Home (5/20) – Late last year, Janet Yetenekian got seriously ill with COVID-19, sick enough to warrant going to the hospital. But instead, the hospital came to her. She got medical care in her own home in Glendale, Calif. "It was even better than the hospital," Yetenekian laughs. "They were constantly reaching out — it's time for you to do your vitals, or it's time for you to take your medications." Yetenekian contracted the coronavirus in December after friends invited her family to an afternoon barbecue. It seemed like a safe antidote to pandemic isolation. But the day after the gathering, the host came down with a fever. A test confirmed it was COVID-19.