Boost Performance & Stay Ahead of Regulatory Changes
The OBBBA has Arrived: Navigating Policy Shifts Driving Special Needs Plans Forward
The One Big Beautiful Bill Act (OBBBA) is more than just sweeping federal legislation—it marks a decisive shift in how dual-eligible care will be financed and delivered. While headlines have focused on tax reforms and political infighting, two foundational provisions...
The LTSS Reboot: Why In-Home Networks Are Central to the Future of D-SNPs
Over the next 18 months, some of the country’s largest and most complex dual-eligible programs—across Michigan, Ohio, Illinois, Massachusetts, and Texas—are undergoing major structural reform. These states are moving from fragmented demonstrations and passive...
Mid-Year Check-In: Is Your PACE Program Meeting the 7-Day Service Delivery Requirement?
The FY 2025 CMS Final Rule for MA, Part-D, and Programs of All-Inclusive Care for the Elderly (PACE) introduced significant changes aimed at improving participant outcomes, enhancing compliance requirements, and increasing accountability across the board. As we reach...
Dina Appoints Dr. Parie Garg as Independent Board Member to Accelerate Growth in Government-Sponsored Programs
Chicago, IL – May 21, 2025 — Dina, a leading care-at-home technology platform powering the future of home-centered care for government-sponsored health programs, today announced the appointment of Parie Garg, Ph.D., Partner at Oliver Wyman, to its Board of Directors...
Top Takeaways from the RISE SNP Leadership Summit
The recent RISE SNP Leadership Summit in Boston delivered actionable insights for payers, providers, and policymakers that support starting or building Special Needs Plans (SNPs). "SNPs are where policy meets people," said Dina President Sherman Sanchez, who attended...
Medicare SNP Enrollment Beats Expectations
Medicare Special Needs Plan sign-ups exceeded expectations from CMS during the 2025 annual enrollment period, offering a welcome boost to an otherwise slowing Medicare Advantage market. These products are a key to growth for Medicare Advantage, even though the rate of...
Unfulfilled Home Health Referrals Lead to Higher Mortality
Unfulfilled home health referrals lead to higher mortality among Medicare Advantage (MA) members, according to a report published in the American Journal of Managed Care. The report documents 2,115 discharged patients who received home health services and 761...
Center-Focused PACE Model Aims to Transform Senior Care Across U.S.
Many families and seniors are desperate for alternatives to nursing homes. By 2030, one in five Americans will be over age 65, and most older adults say they would prefer to live in their homes for as long as possible. The Program for All-Inclusive Care for the...
New Year, New Challenges: Here’s What We’ll Be Watching in 2025
It seems the only constant in Medicare Advantage (MA) and other government-sponsored programs is change, and this year was no exception. MA is entering its third decade facing challenges like funding cuts and changing reimbursement models. To succeed, many health...
HLTH ’24: Improving Care Delivery & Aging Equity are Key Themes
HLTH lived up to its “Be Bold” theme this year and the show continues to cement its position as a unique, fun place for all stakeholders to gather, connect and advance their causes. The Dina team shares their takeaways from their time in Las Vegas. Notable this year...
Capacity Issues? How to Improve Network Adequacy for In-Home Services
In-home services have been shown to address social determinants of health and health equity. But finding capacity and arranging services for members remains a problem. “It is always difficult to find the right provider at the right time to meet the specific needs of...
Dina’s New Integration & Automation Capabilities Accelerate Access to Care
Providing care and services to people following a hospital stay or during an extended illness is critical. But timely access to home-based care remains a massive problem. For health plans and providers, the process often involves intricate workflows, multiple...
Struggling to Improve Access to In-Home Services? Dina President Makes a Case for “Meeting the Moment”
The rapid growth of our aging population is reshaping how we think about administering long-term care in the home. But accessing in-home services remains a massive problem. Persistent workforce shortages and rising care costs present hurdles. And new mandates from CMS...
Preventative Interventions Work When Accessible & Managed Correctly
Forward looking health plans are leveraging supplemental and home-based benefits as an integral part of their value-based care strategies and programs. Many are offering preventative interventions including ADL support through homemaker and home health aide services,...
Cutting Benefits to Offset Rising Medical Costs? Report Offers Different Approach
Most Medicare Advantage (MA) plans use the extra benefits they offer to attract new members and differentiate themselves from Medicare. That's nothing new. What is new is increasing pressure from CMS to deliver those benefits in a high-quality, low-cost manner. But...
Improving Access to Behavioral Healthcare: Challenges and Solutions
Demand for behavioral healthcare services has skyrocketed, reflecting a growing recognition of the importance of mental health. However, access to these essential services remains a challenge. Behavioral health conditions affect people of all ages: About one in five...
Sherman Sanchez Joins Dina as President to Accelerate National Expansion
Dina has named healthcare veteran Sherman Sanchez as its new president. In this role, Sanchez will collaborate with the executive team to steer the company's continued growth and innovation strategy. Sanchez brings a 20-year track record of high growth and...
Navigating the Medicaid Access Rule and its Impact on Quality
The “Ensuring Access to Medicaid Services'' rule has been finalized and the “80-20” provision has gone through as proposed. This means providers will eventually need to direct 80% of reimbursement for home- and community-based services (HCBS) to caregiver wages. ...