In-home care now covered under supplemental benefit expansion
As a part of these changes, CMS is redefining health-related supplemental benefits to include services that increase health and improve quality of life, including coverage of non-skilled in-home supports.
-Center for Medicare & Medicaid Services (CMS)
Previously, CMS has not allowed an item or service to be eligible as a supplemental benefit if the primary purpose includes daily maintenance. Now the benefit can be used…
“to compensate for physical impairments…or reduce avoidable emergency and healthcare utilization.”
CareLinx health impact analysis
As the American population ages, the demand for in-home care is exploding — a major catalyst for advancements in healthcare.
11 million
Older Americans received help with activities of daily living (ADLs)(1)
5.3 million
Older adults will need non-medical home care by 2040(2)
$41.3 billion
Annual cost for patients readmitted within 30 days of discharge(4)
3 in 4
Seniors live with multiple chronic conditions(1)
17 billion
Annual Medicare spend on avoidable hospital readmissions after discharge(3)
$45 billion
Annual waste on poor care transition management(5)
The future of healthcare is in the home
CareLinx works with health plans to incorporate non-skilled in-home care under supplemental benefits.
CareLinx services also extend the reach of health plans to provide actionable insights and reduce costs and plan utilization for high risk members.
Offer a service your members truly love
Our unique program empowers people to thrive at home. Careful matching ensures a strong relationship between caregivers and members.
Reduce costs and utilization
Our nationwide network of caregivers are employed directly by members, which means higher-quality care at a lower price. With superior care in the home when it’s most needed, utilizations and readmissions go down.
Expand control and visibility
Our app allows caregivers to report on your member’s progress in real-time, providing you insights you can use to identify potential problems and intervene before conditions deteriorate.
Simple implementation
Our turnkey implementation allows for rapid deployment.
Including home care in MA plans gets clear and measurable results
It’s not just members who will benefit. By incorporating home care into Medicare Advantage plans, the country’s largest health payers will also see:
Improved health outcomes
Enhanced member satisfaction, assistance with closing gaps in care, promotion of self-management
Reduced medical costs
Reliable home support post-discharge, reduced emergency room and hospital readmissions for high-risk members, shortened post-acute skilled services, reduced total cost of care through scalable in-home care management
Enhanced Quality Performance
Enhanced support and member experience impacts STARs/CAHPS bonus potential and may lead to membership growth over time
Reputation Value
Positive Medicare experiences for members and family caregivers leads to better retention and promotion of the health plan across communities
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Why members love CareLinx home care
Personalized caregiver matches
Dedicated advisor services
Highest quality, professional caregivers
The member journey
1
A member is discharged from the hospital after an acute episode.
2
The care management team identifies and refers members who need ADL/IADL support at home to CareLinx.
3
A dedicated CareLinx Care Advisor calls the member and guides them through the matching process.
4
The member reviews, interviews, and hires the perfect caregiver for the job.
5
Through the CareLinx built-in care plan and electronic visit verification, the caregiver delivers superior care and captures real-time health data for the members’ clinical team.
6
The CareLinx caregiver provides visibility into health issues before health declines, enabling prevention and intervention opportunities in real time.
The CareLinx difference
Highest quality, background checked, Medicare compliant
Electronic Visit Verification via GPS
HITRUST certified and HIPAA compliant
Dedicated advisors coordinate home care
Population health dashboard
Flexible data integration
Why CareLinx?
Quality: Highest industry NPS
Experienced: Proven success implementing VAIS with providers and plans nationwide
Nationwide: Single vendor contracting
Turnkey: Efficient deployment
Research based on the National Health and Aging Trends Study
2004/2005 National Long Term Care Survey
Robert Wood Johnson Foundation
Agency for Healthcare Research and Quality
Health Affairs
