Matthew Blye

📢 How NY Best Medical Elevates MD Order Management for Home Care Agencies Through HHAeXchange Integration 🙌 At NY Best Medical , we know that managing MD orders can be time-consuming and complex for home care agencies. With our fully integrated partnership with HHAeXchange we’ve developed a streamlined, comprehensive solution that eases the administrative burden, enhances compliance, and allows agencies to focus more on delivering exceptional patient care. Here’s How Our End-to-End Approach Benefits Home Care Agencies: 1. Automated Scheduling & Comprehensive Assessments: Our team manages every aspect of scheduling, ensuring timely patient appointments without burdening agency staff. We also conduct thorough medical assessments, carefully documenting patient health data to meet high compliance standards. 2. Direct HHAeXchange Integration: Once assessments are complete, we upload MD orders directly into HHAeXchange in real time. This integration minimizes manual data entry, reduces errors, and provides agencies with immediate access to documentation, streamlining workflows and enhancing data accuracy. 3. Medication & Durable Medical Equipment (DME) Management: Our patient support goes beyond assessments. We assist with medication adherence, ensuring prescriptions are up-to-date and clear, and we coordinate DME needs, from arranging delivery to educating patients on usage. This all-in-one approach reduces the agency’s workload and improves patient satisfaction. 4. Proactive Compliance Monitoring Our dedicated team tracks renewal dates and monitors ongoing orders to ensure agencies remain fully compliant with MD order regulations. With proactive updates and timely notifications, we help agencies avoid lapses in compliance while saving valuable time and resources. 5. Dedicated Client Support & Enhanced Patient Satisfaction: NY Best Medical offers dedicated client support, ready to address any questions or make adjustments as needed to keep processes smooth. Our all-inclusive approach means patients receive consistent, reliable care, resulting in greater satisfaction and better outcomes. The Benefits for Agencies and Patients Are Clear: By managing every detail—from scheduling and assessments to documentation, compliance, and patient support—NY Best Medical frees agencies to focus more on patient care. Our seamless integration with HHAeXchange not only saves time and reduces administrative costs but also provides peace of mind, knowing that compliance and patient needs are in expert hands. Partner with us for an MD order process that’s smooth, compliant, and patient-centered! Marina McClure #NYBestMedical #HomeCareExcellence #HomeCareSolutions #HHAeXchange #HealthcareCompliance #HomeCareProviders #HomeHealthCare #PatientSupport #CareAtHome #MDOrderCompliance #CompassionateCare #HomeCareCommunity #ElderlyCare #PatientWellbeing #SeniorCare #LongTermCare #InHomeCare #CareCoordination #PersonalizedHomeCare #hhaexchange

61

13 Comments

We are thrilled to announce that NY Best Medical is expanding its footprint into new states, with a special focus on Pennsylvania! The warm welcome we’ve received from our Pennsylvania partners has been truly inspiring, and we are honored to collaborate with such dedicated organizations. We’re honored to be one of the speakers at the HHAeXchange Summit in Pennsylvania, presenting our services to the rest of the state. It’s a privilege to showcase how we’re enhancing caregiver compliance and driving operational efficiency across the industry. Our mission is to drive meaningful impact by enhancing caregiver compliance and streamlining operational efficiency for the companies we work with. By focusing on innovation and collaboration, we are helping to shape a more efficient and effective home care landscape. Being able to share how we’re advancing caregiver compliance and operational efficiency is a true privilege, and we look forward to the chance to connect with leaders across Pennsylvania. Together, we are building stronger partnerships and paving the way for greater innovation in the home care industry. We’re looking forward to connecting with everyone and continuing our journey of growth, innovation, and collaboration. Exciting times are ahead! #Expansion #HomeCare #CaregiverCompliance #OperationalExcellence #Efficiency #Growth #HealthcareInnovation #Collaboration #HonoredToSpeak #Partnerships #HomeCareSolutions #Leadership #InnovationInCare #PennsylvaniaCare #FutureOfHealthcare #WorkforceCompliance #HomeCareEfficiency #StreamlinedProcesses #IndustryLeaders #CaregiverSupport #HealthcareCompliance #PAInnovation #BuildingConnections #CaregiverExcellence #HealthServices #HomeCareExpansion #NYBestMedical #CaregiverOptimization #PAHealthcare #MedicalServicesExpansion #HomeCareGrowth #ComplianceSolutions #HealthTech #HealthcareIntegration #PennsylvaniaHealthcare #BusinessGrowth #CaregiverDevelopment #OperationalSuccess #DrivingEfficiency #ServiceExpansion #ProfessionalDevelopment #PAHomeCare #HealthcareLeadership #HealthCareCompliance #HealthcareStrategy #HealthCareTransformation #CaregiverEmpowerment #HealthCareImprovement #CareInnovation #HealthcareProgress #HealthcarePartners #ComplianceManagement #HealthcareSystem #TechnologyInHealthcare #HomeHealth #ServiceExcellence #CollaborativeCare #HealthcareOutreach #HomeCareInnovation #ComplianceEfficiency Anatoliy Binshteyn Natalie Binshteyn MSA Janet Romero

66

4 Comments

You can get rich off Medicaid Sound weird? Look at Centene: Q2 2024 (Q3 drops soon) $80.2B revenue $2.3B net income $10.7B stock buy backs $1.7B cash from operations Not too shabby But they don't have to be the only ones I spoke with a physician recently 85% of her patients are Medicaid She makes good money in her private practice How? Working collections Making sure patients get well visits Making sure patients get their vaccines The other part people don't talk about enough? They pay fast Speed on lower margin can be much more financially advantageous than slower, higher margin payments Not to mention there are ways to make perceived lower reimbursements higher margin Serving those in need while building a financially successful practice isn't just possible, it's critical P.S. If you are interested in seeing more of how the money flows in healthcare and how the business works, you'll love The Healthcare Breakdown, where I breakdown the business of healthcare so you can run that practice you've been dreaming about Check it out here: https://lnkd.in/gVRtQGZN See you out there!

103

52 Comments

For 11 consecutive years, reports like this one have found that the prices providers (hospitals, physicians, etc.) charge are the main factor driving Massachusetts’ high health care costs. While we value our hospitals and our health care institutions, it’s worth asking – what are we as taxpayers paying for, and at what cost? Individuals on Medicaid (taxpayer-funded) pay minimal to zero costs (~1/3 of the state’s population) and Medicare (taxpayer-funded) cost share is graduated based on income. But, for people with private health insurance (employer-sponsored health insurance, like Wellpoint members) health care premiums and out-of-pocket costs are taking up a significant –and growing– part of their income- between 20% to 40%. Perhaps it’s time to re-evaluate how taxpayer funds are being used to support health care and work with policymakers to reform reimbursements as means to help people stay healthy and out of hospitals.  In the meantime, below are some steps people can take to start understanding health care costs and stay healthy:   1. Think health, not sick care: eat healthy, exercise regularly, and stay active every day; 2. Take control of your health. Partner with your primary care team and be sure to get recommended preventive care and screenings; 3. Use primary care, urgent care, and community health centers for non-emergent care. These locations are the lower cost alternatives; 4. Understand how using hospitals and emergency rooms for primary care and routine services affects your premiums and out-of-pocket costs. #healthnotsickcare #health #wellbeing #finance #healthcare #value #employer #insurance #healthinsurance #affordability #transparency #incentiveswork https://lnkd.in/dV9SMPFU  

38

4 Comments

Whether you're a small homecare agency with a handful of clients or a large provider with thousands, HHAeXchange offers tools to help you better manage your business. Check out this guide to see how agencies at every stage can utilize the HHAeXchange platform:

3

Whether you're a small homecare agency with a handful of clients or a large provider with thousands, HHAeXchange offers tools to help you better manage your business. Check out this guide to see how agencies at every stage can utilize the HHAeXchange platform:

2

CMS Sunsets Medicare Advantage Value-Based Model: What It Means for Seniors and the Path Forward As we all been reading about. CMS recently announced the end of the Medicare Advantage Value-Based Insurance Design (VBID) model, citing significant costs and high risk scores. While financial concerns are driving this decision, it’s critical to recognize the benefits this model brought, particularly for low-income seniors and those managing chronic conditions. Why Higher Risk Scores Were Expected Higher risk scores were not a flaw but a feature of this model’s design given segmentation enrollment. By focusing on innovative, tailored solutions for vulnerable populations, the program naturally served those with more complex health needs. These scores reflect the success of the model in addressing care gaps and improving outcomes for seniors who need it most. Our Role At Alignment Health, participation in VBID was about designing products uniquely suited to the populations we serve. The flexibility allowed us to innovate and improve access to care for underserved communities. While we anticipated this transition and have plans in place to adapt, millions (approx 10 million plus) of seniors enrolled in VBID programs across the country may face challenges as this model sunsets. Acknowledging CMS and Looking Ahead While CMMI likely faced significant pressures from Capitol Hill and the Congressional Budget Office, we commend the VBID team and Liz for their exceptional work in fostering collaboration and advancing the mission of improving senior healthcare. The conclusion of this program highlights the need for ongoing innovation and advocacy to ensure seniors continue to receive high-quality, access and affordable care. Our Commitment to Seniors At Alignment, our mission remains unchanged: to deliver better care for seniors, particularly the most vulnerable among us. This decision strengthens our resolve to be a voice for those who need it most and to provide better choices and outcomes for the populations we serve. Change has always been an opportunity for innovation and creativity with product leading options. We are committed to working closely with CMS and other stakeholders to continue creating solutions that address disparities and improve healthcare for seniors across the nation. Together, we can build a stronger, more inclusive healthcare system for the future. #medicareadvantage #vbid #2026 #seniors #change #cmsannouncement

73

2 Comments

Tired of getting no support or transparency? Quality Life Services is still family owned and operated.

25

🚨 Important Update for New Jersey Patients 🚨 Hackensack Meridian Health (HMH) may be dropped from Aetna's insurance network if the two companies don't reach an agreement on reimbursement rates by July 1, 2024. This potential change could mean higher out-of-pocket costs for patients who use HMH's hospitals and doctors. HMH, which operates facilities like Hackensack Medical Center and Jersey Shore Medical Center, is negotiating fair rates to offset rising healthcare costs and ensure continued high-quality care. They urge patients to contact Aetna and advocate for keeping HMH in-network. Key Points: Negotiation Deadline: July 1, 2024 Potential Impact: Higher out-of-pocket costs for Aetna patients if no agreement is reached Action Steps for Patients: Contact Aetna and express the importance of maintaining in-network access to HMH providers For more information, please stay informed through HMH's updates or contact their support line at 848-245-8241. #Healthcare #Insurance #PatientCare #HackensackMeridianHealth #Aetna #HealthcareNegotiation Read the full article here: https://lnkd.in/eJ4ypaWm

8

1 Comment

We are beyond honored to announce our partnership with VNS Westchester, a trailblazer in home care and patient services! At NY Best Medical , we are thrilled to bring our expertise to the table, supporting their HR needs by seamlessly onboarding new caregivers and skilled staff while maintaining annual caregiver compliance to ensure their team is always ready to deliver the best care possible. But our collaboration doesn’t stop there. We are also stepping in to provide patient compliance and assistance, simplifying processes, removing administrative barriers, and ensuring that VNS patients receive uninterrupted, top-tier care. This dual approach—focusing on both caregivers and patients—is what makes this partnership so impactful. A special thank you to Jennifer Brullo DNP, MSN, MBA, RN, NE-BC and Stacy Burns , two exceptional leaders whose vision and passion for excellence drive everything they do. Jennifer and Stacy, your leadership is inspiring, and your unwavering dedication to raising the bar in home care is a true testament to your roles as industry leaders. It is a privilege to collaborate with you and the entire VNS Westchester team. Together, we’re setting new standards, empowering caregivers, enhancing patient outcomes, and building a brighter future for home care. Stay tuned—this is just the beginning of what promises to be an incredible partnership! #NYBestMedical #VNSWestchester #CaregiverOnboarding #AnnualCompliance #PatientCompliance #PatientAssistance #CaregiverSupport #SkilledStaff #HomeCareExcellence #HomeCareInnovation #ComplianceMatters #HealthcareSolutions #EmpoweringCaregivers #ExceptionalCare #LeadershipInCare #HealthcarePartnerships #TrueLeadership #TeamworkInCare #TransformingCare #EnhancingPatientCare #IndustryLeaders #CaregiverExcellence #PatientCareMatters #StreamliningProcesses #OperationalEfficiency #FutureOfHomeCare #BuildingPartnerships #AdministrativeSupport #HomeCarePartnership #ExcellenceInCare #HealthcareCompliance #ImpactfulCollaboration #CaregiverEmpowerment #RaisingTheBar #CareInnovation #CaregiverAndPatientSupport #PartnershipGoals #DrivingChangeInCare #SettingStandards #ExceptionalLeadership

97

16 Comments

In a recent article, The Philadelphia Inquirer reported that two Aledade, Inc. Accountable Care Organizations (ACOs) were the Philadelphia area's top performers in the Medicare Shared Savings Program in 2023. They achieved higher savings rates and shared savings totaling over $38 million compared to the other ten ACOs in the region. In addition, Aledade's Delaware and New Jersey ACOs, both with practices in the Philadelphia metro, earned shared savings of more than $14 million. https://ow.ly/rsK150UeWLA

1

The CMS has implemented anti-fraud measures for ACA enrollments, including requiring three-way calls for brokers not affiliated with existing plans and suspending 850 agents suspected of unauthorized switching. While complaints have dropped 30% since these changes, concerns remain about rogue agents exploiting system vulnerabilities. Critics, including agent groups, argue that the measures complicate enrollment and lack due process, advocating for two-factor authentication instead. Unauthorized switches have led to issues like higher deductibles and unexpected tax bills, creating political challenges for the Biden administration during a period of record ACA enrollment.

1

In a recent article, The Philadelphia Inquirer reported that two Aledade, Inc. Accountable Care Organizations (ACOs) were the Philadelphia area's top performers in the Medicare Shared Savings Program in 2023. They achieved higher savings rates and shared savings totaling over $38 million compared to the other ten ACOs in the region. In addition, Aledade's Delaware and New Jersey ACOs, both with practices in the Philadelphia metro, earned shared savings of more than $14 million. https://ow.ly/hyw950UehHH

2

In a recent article, The Philadelphia Inquirer reported that two Aledade, Inc. Accountable Care Organizations (ACOs) were the Philadelphia area's top performers in the Medicare Shared Savings Program in 2023. They achieved higher savings rates and shared savings totaling over $38 million compared to the other ten ACOs in the region. In addition, Aledade's Delaware and New Jersey ACOs, both with practices in the Philadelphia metro, earned shared savings of more than $14 million. https://ow.ly/81rq50UehII

39

1 Comment

In a recent article, The Philadelphia Inquirer reported that two Aledade, Inc. Accountable Care Organizations (ACOs) were the Philadelphia area's top performers in the Medicare Shared Savings Program in 2023. They achieved higher savings rates and shared savings totaling over $38 million compared to the other ten ACOs in the region. In addition, Aledade's Delaware and New Jersey ACOs, both with practices in the Philadelphia metro, earned shared savings of more than $14 million. https://ow.ly/52as50UjCO9

6

There is plenty of evidence pointing to this fact: provider prices are driving the majority of the increases in premiums and costs, especially in Massachusetts where health care costs are among the highest in the nation. Moreover, the existing health system is not designed to advance health or wellness, but rather sick care. At Wellpoint Massachusetts (formerly UniCare State Indemnity Plan (becoming Wellpoint)) we will continue to partner with physicians and providers to advance models of payments and health services that incentivize our members to engage in their whole health, live healthier lives, and access health services affordably- as best as we can. However, it's crucial that employers and taxpayers actively demand a more transparent and competitive health system that's fair to premium payers in the private market.  Ultimately, it's premium payers who subsidize government health programs and pay for exorbitant provider prices. Get engaged and demand better. #healthnotsickcare #health #affordablehealth #competition #employers #benefits #incentiveswork #lessismore #lowercosts #demandbetter #engage https://lnkd.in/eUGQapJV?

29

1 Comment

**CMS 2025 Final Rule & Key Implications** -Payment Rates: A 2.93% reduction for 2025 (conversion factor: $32.25). Your focus on efficient care delivery and accurate coding is essential to offset reductions. -KX Modifier: Therapy thresholds increased to $2,410 for PT/SLP and $3,000 for OT, making documentation critical to avoiding denials. -Telehealth Adjustments: Congress may determine whether current flexibilities continue. New allowances include audio-only telehealth and expanded billing for caregiver training services (CTS). -Therapy Assistant Supervision: General supervision replaces direct supervision in outpatient settings, offering greater flexibility and improving access to care. -Therapy Plan Certification: Physician orders can now act as signatures, reducing delays in therapy initiation and administrative burdens. Check out the HealthPRO Heritage comprehensive overview of the latest changes and their potential impact on your organization by reading our detailed summary of the Final Rule updates. #CMSFinalRuleUpdates

6