The National Association of Home Care and Hospice (NAHC) held their annual convention in October 2022.
Trella Health was honored to have the opportunity to speak on the topic of Medicare Advantage (MA) for the post-acute care industry. This blog recaps the key insights and predictions presented at NAHC, focusing on 4 areas Home Health cannot ignore.
1. Medicare Advantage Enrollment Will Continue to Grow
The national Medicare enrollment type shows an increase in MA enrollees of 8.4% on average over the last 5 years, and between 2020 and 2021, MA enrollment increased by 9.9%. Comparatively, fee-for-service (FFS) has been on the decline for the last 5 years, decreasing by 2.1% on average and 4.1% between 2021 and 2022.
This goes to show, you can no longer rely on FFS primarily.
2. The Increase is Long Term
We continue to see the growth continue, in 2022, Medicare Advantage enrollment is pushing closer to 50% of eligible lives, with MA penetration hitting 45.8% in April. As the makeup of the eligible population changes, home health agencies must adapt to the changing healthcare coverage of their patients and evolve their strategy with the right referral partners.
3. Insights into Geography is Key
Growth is not uniform across the nation, so having the right data and insights at your fingertips is critical when developing the right strategy for your business.
• 21 states with > 40% MA Enrollment
• MA penetration is typically higher around major metropolitan areas
• 727 counties across US with > 50% MA enrollment
• Lack of MA enrollment in rural regions (compare rural northern CA to San Francisco and Los Angeles)
4. Data is Necessary to Compete
Having clear visibility into your market is crucial to your strategy. This included 100% Medicare Part A, B, and C claims — plus, Medicare Advantage and Commercial claims data. Being able to filter by physicians and facilities in your market that meet your criteria will be more efficient while avoiding those who are not the “right” referral source.
Trella’s Marketscape Insights platform does just that. Execute with confidence when you have data-driven solutions on your side that eliminate blind spots and help you achieve smarter growth and healthier outcomes.