At-Home Care in 2025: A Year of Revolution Amidst Payment and Technological Shifts

0
9
At-Home Care in 2025: A Year of Revolution Amidst Payment and Technological Shifts

Key Takeaways

  • The home-based care industry is focused on two key areas: an evolving payment landscape and technology that can increase efficiency and transform operations
  • Value-based care is a highly requested topic, with providers seeing it as a path to expand revenue while focusing on care quality
  • The reimbursement flywheel, rooted in upside performance dollars tied to Medicare Advantage, is a key concept in payment innovation
  • AI and electronic medical records are shaping strategic readiness for broader regulatory and payment shifts
  • Technology choices are forcing providers to rethink workflows and upgrade infrastructure

Introduction to HHCN+ Content
The article discusses the top stories and takeaways from HHCN+ content from 2025, highlighting the key themes of payment innovation and technology. The author, associate editor of HHCN, reviews the articles, TALKS interview series, and live events, and provides insights on how the team shapes its coverage. The HHCN+ community is intensely focused on two key areas: an evolving payment landscape, colored by the rise of Medicare Advantage and the need for reimbursement innovation, and technology that could increase efficiency and transform operations.

Payment Innovation
The article highlights two favorite moments from 2025’s TALKS episodes, including the evolution to value-based care and the reimbursement flywheel. WellBe Senior Medical CEO Jeff Kang credits value-based models as the pathway for primary care to re-enter patients’ homes. Kang suggests that the first step home health providers can take to engage in value-based care is a shared savings model. Sue Chapman Moss, managing director of payer and provider contracting and strategy at Bayada Home Health Care, outlines the concept of the reimbursement flywheel, which allows the company to reinvest in workforce, technology, and clinical innovation.

Shaping HHCN+ Stories
The article provides insight into how the team orchestrates HHCN+ content, which is guided by direct input from HHCN+ members. The team conducts an annual survey of HHCN+ members, which helps determine the topics to prioritize. Respondents expressed interest in learning more about AI and electronic medical records, leading to coverage of AI-related topics and EHR technology. The survey insights also guided the author to write stories on selecting and integrating EHRs. The article highlights key ideas from the coverage of AI and EHR technology, including how AI tools help alleviate pressure from the Outcome and Assessment Information Set (OASIS) and the policies providers have implemented to safely leverage AI without creating compliance risks.

Technology and Operations
The article discusses how AI and tech adoption are shaping strategic readiness for broader regulatory and payment shifts. Providers are using AI to reduce documentation time and view AI as a strategic tool to navigate value-based care and increased reporting expectations. Technology choices are forcing providers to rethink workflows and upgrade infrastructure, revealing deeper organizational needs such as change management, cross-functional collaboration, and data governance. The article also highlights the limitations of data quality and interoperability, which are influencing EHR configuration, data governance, and interoperability practices.

Value-Based Care
The article discusses the HHCN+ survey findings, which show that 80% of respondents interested in learning more about Medicare and Medicaid policy want to narrow in on value-based care models. Respondents specifically asked for more focus on transition to value rather than fee-for-service, and for a true definition and measurement of value-based care. The article quotes Kunu Kaushal, CEO of Senior Solutions, who says that defining value-based care in personal care is the next hill the industry needs to climb. The article concludes by highlighting the excitement for the stories and content that HHCN will cover in 2026, including niche topics and exciting home-based care initiatives that might otherwise go undiscussed.

SignUpSignUp form

LEAVE A REPLY

Please enter your comment!
Please enter your name here