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

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...

Special Needs Plans on the Rise; 6 States Lead Enrollment 

Special Needs Plans on the Rise; 6 States Lead Enrollment 

Special Needs Plans (SNPs) provide specialized coverage — extra benefits and coordinated care — for people who have chronic medical conditions or face certain severe or disabling health situations. What are the Three Types of SNPs? SNPs come in three types, each with...

Dina Recognized on “Best Places To Work” List by Purpose Jobs

Dina Recognized on “Best Places To Work” List by Purpose Jobs

Dina was recognized as one of the Best Places To Work in 2024 by Purpose Jobs!  Purpose Jobs is the largest community of purpose-driven startup and tech professionals. Companies across emerging tech hubs (and those hiring remotely) were evaluated on and selected for a...

CMS Proposes Changes to Improve Access to MA Benefits

CMS Proposes Changes to Improve Access to MA Benefits

Supplemental benefits continue to grow across more plans. Now CMS wants to know who is using them and what impact they have. Nearly all Medicare Advantage (MA) plans offer at least one supplemental benefit; the most frequently offered are vision, hearing, fitness, and...

Long-Term Services and Supports Spending is Up: What Happens Now?

Long-Term Services and Supports Spending is Up: What Happens Now?

Medicaid enrollees who used long-term services and supports (LTSS) had disproportionately high spending in 2020, but just 24% who utilized the benefit did so in an institutionalized setting, according to a recent KFF report.  As the population continues to age, it is...

SCAN Group Makes Investment in Dina

SCAN Group Makes Investment in Dina

SCAN Group, a mission-driven organization whose holdings include SCAN Health Plan, one of the nation’s largest not-for-profit Medicare Advantage plans, has made its latest strategic investment in Dina. Earlier this year, Dina and SCAN launched a program in California...

Delivering Care at Home Requires New Services, Tools & Partners

Delivering Care at Home Requires New Services, Tools & Partners

As more health plans prioritize the home as a primary site of care, they’ll also need to invest in the tools, services, and partners to build out that capability beyond traditional home care.  Personal care, meal delivery, home modification, and transportation are...

Unmet HCBS Needs Persist Despite Increased Waiver Funding

Unmet HCBS Needs Persist Despite Increased Waiver Funding

Seniors, people with disabilities, and those with chronic conditions rely on Medicaid home and community-based services (HCBS) to live independently outside of nursing homes and other institutions. Medicaid fills an important gap as the sole source of coverage for...

Demand for LTSS Grows, But Industry Issues Persist

Demand for LTSS Grows, But Industry Issues Persist

Millions of people – children, adults, and seniors – need to access long-term services and supports (LTSS) as a result of disabling conditions and chronic illnesses. In 2020, an estimated 5.8 million people used LTSS delivered in home and community settings, and 1.9...