Home & Community-Based Services
An aging U.S. population alongside a rise in complex, polychronic, and behavioral health conditions is driving
a major increase in national health spending and contributing to the urgent need for home and community-
based services (“HCBS”) – home health, home care, palliative, and hospice – that allow individuals to
reduce institutionalization and receive care in the comfort of their homes.
Seniors, people with disabilities, and those with end-of-life conditions who require long-term care and/or chronic care management often consume healthcare more significantly, ineffectively, and inefficiently. HCBS offer a tremendous opportunity to improve quality of life while also shoring up the healthcare system.
Bolstered by the COVID-19 pandemic, HCBS are now even more preferred over institutional settings, with 77% of adults 50 years and older saying they would prefer to age in place.1 As evidence of this preference, while over 1.6 million Medicare beneficiaries utilized hospice care in 2019,2 evidence shows the benefit is still significantly underutilized. And, in 2020, more than 665,000 people were on waiting lists for home and communitybased services Medicaid waivers.3
HCBS also have a meaningful impact on the cost of care. Medicare spending accounted for 20% of total national health expenditures in 2020 and studies have shown as much as a quarter of all Medicare spending goes toward care for people during their last year of life.4 Similarly, a 2019 study discovered that 90-day costs are lower for home health patients ($13,012) than for hospital patients ($20,325).5
MEDICAID HCBS WAIVER WAITING LIST ENROLLMENT, BY TARGET POPULATION (2020)
Vistria’s investments in home health, home care, and hospice care provide comprehensive in-home skilled nursing, rehabilitation, transitional, and palliative care as well as long-term support solutions for individuals managing end-of-life, serious disease, and/or chronic conditions.
Additionally, our investments include clinical decision support and care coordination software, long-term care pharmacy solutions, and benefit and management services that bolster access and value-based care arrangements for all stakeholders.
A leading provider of home care services and solutions to frail, dual elderly populations.
One of the West Coast’s largest providers of home health and hospice services.
One of the largest providers of clinical decision support and value-based care enablement software and solutions for home health and hospice stakeholders.
A leading provider of comprehensive and integrated LTC pharmacy solutions for polychronic, home and community-based populations.
A leading provider of home health and hospice services throughout the southern U.S.
A leading provider of home health benefit and management solutions.
A leading provider of home and community-based services for highly complex, dual-eligible populations, including the developmentally disabled, ABI, and frail elderly.
- https://www.aarp.org/home-family/your-home/info-2021/home-and-community-preferences-survey.html
- https://www.nhpco.org/nhpcos-new-facts-and-figures-report-shows-changes-in-hospice-patient-diagnoses/
- https://www.kff.org/health-reform/state-indicator/waiting-lists-for-hcbs-waivers/?currentTimeframe=0
- https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NHE-Fact-Sheet
- https://www.ajmc.com/view/improved-cost-and-utilization-among-medicare-beneficiaries-dispositioned-from-the-ed-to-receive-home-health-care-compared-with-inpatient-hospitalization
- Graphic Source: https://www.kff.org/health-reform/state-indicator/waiting-lists-for-hcbs-waivers/?activeTab=map¤tTimeframe=0&selec tedDistributions=idd&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D
FACES OF IMPACT
Thank-you is a simple enough word. However, it conveys so much my appreciation for caring for our father. Our Dad came home with some lofty home health goals; one of which was to walk again. He was able to meet that goal in short order.
We thank-you for your advocacy and seeing the potential for recovery and not giving up on his as he was 95 years young! We had a chance to see the excellent care by all your staff and how comfortable and reassuring your team was as they cared for our father, even on the
difficult days. He always looked and felt better after each visit. It was amazing to see how everyone of team members complimented each other.
I write this because our father recently passed away, but not before being able to make the trip back home to IL from San Diego to be with our mom. I will always remember the Mission team members with a grateful and appreciative heart.
LM,
MISSION HEALTHCARE FAMILY MEMBER
The thing I like most about being a caregiver is giving [someone] a better quality of life. Being a caregiver doesn’t feel like work at all it just feels like I’m coming to help someone that needs help. And that makes me feel happy. Being able to give somebody quality of care that they need to be able to live a normal life.
ARLONA,
HELP AT HOME CAREGIVER
HomeFree Pharmacy is a very valuable partner to BAYADA Home Health. Medications are delivered organized in sealedpackets with information and timing that is easy to read and follow. I believe this process truly advances medication safety for our clients.
DR. JOANNA HORST, CHIEF CLINICAL OFFICER
BAYADA HOME HEALTH & HOSPICE
Her outlook on life has improved. She has a whole new meaning to life. My advice to others going through something similar is to not give up and to keep doing what you can do.
