News and insights to help health plans and providers stay connected to one of the most important destinations of care: the home.

Preventative Interventions Work When Accessible & Managed Correctly

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,...

Improving Access to Behavioral Healthcare: Challenges and Solutions

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...

Navigating the Medicaid Access Rule and its Impact on Quality

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. ...

Dina’s Operations Team Makes Coordinating In-Home Services Easy

Dina’s Operations Team Makes Coordinating In-Home Services Easy

Non-medical supplemental benefits like personal care, meal delivery and home modifications have become important to health plans as a way to meet member’s needs and differentiate themselves from Medicare and their competitors. But they often struggle to operationalize...

Health Equity Index Rewards Plans Addressing Disparities in Care

Health Equity Index Rewards Plans Addressing Disparities in Care

CMS has signaled a renewed commitment to health equity with the introduction of the Health Equity Index (HEI), designed to motivate Medicare Advantage (MA) plans to identify and address disparities in care to members with social risk factors such as dual-eligibility,...

Creating Value: Dina Unlocks Home-Based Benefit Delivery

Creating Value: Dina Unlocks Home-Based Benefit Delivery

First Analysis Managing Director Andrew Walsh is a longtime healthcare executive and entrepreneur, who has worked with organizations like Optum, UnitedHealth Group and DaVita Health. He founded and scaled Educerus Health Solutions (acquired by PopHealthCare), an...

Health Related Social Needs Get Boost From Medicaid Guidance

Health Related Social Needs Get Boost From Medicaid Guidance

Much like social determinants of health, addressing health related social needs (HRSN) is important for improving overall health outcomes and reducing health disparities. Several states are taking steps to address health related social needs and CMS is offering...

Moving the Needle on Outcomes Takes Center Stage at RISE National

Moving the Needle on Outcomes Takes Center Stage at RISE National

The shift to value-based care and the role of health plans to support that vision was a key theme at the recent RISE National Conference in Nashville. “We continue to hear from benefit and in-home service providers about the importance of creating value and moving the...

Policy Changes Don’t Damper D-SNP Growth

Policy Changes Don’t Damper D-SNP Growth

The D-SNP market continues to grow to accommodate the rapid rise of the dual-eligible population and ongoing policy changes from CMS that will shape the market. Beneficiaries who are dually enrolled in both Medicare and Medicaid are cited as a target pocket of growth...

First Analysis Invests in Dina

First Analysis Invests in Dina

First Analysis, a leading venture capital investor, has made a new investment in Dina. First Analysis led the $7 million Series B round, with participation from existing investors Osage Venture Partners and First Trust Capital Partners, LLC. In December, SCAN Group, a...

Proposed CMS Rule Changes Focus on Benefit ROI

Proposed CMS Rule Changes Focus on Benefit ROI

Proposed rules from CMS are pushing health plans to demonstrate value and return on the investments they're making in products, benefits and services.  Historically, health plans have used products and benefits to attract and retain their membership. Now, there's...