Medicare At Home
For Medicare Advantage Plans
CareLinx is an in-home care provider that partners with MA plans to provide members with non-medical home care through:
Supplemental Benefit, Chronic Disease Management, VAIS
CareLinx is the first and only national caregiver network equipped with the proven experience and scalability necessary for operationalizing these services for large health plans.
In-Home Care Now Covered Under Supplemental Benefit Expansion
Previously, CMS has not allowed an item or service to be eligible as a supplemental benefit if the primary purpose includes daily maintenance. However, in the final Call Letter, CMS discusses a reinterpretation of the statute to expand the scope…
“to compensate for physical impairments…or reduce avoidable emergency and healthcare utilization.”
CareLinx Health Impact Analysis
As the American population ages, the demand for in-home care is exploding — a major catalyst for advancements in healthcare.
Older Americans received help with activities of daily living (ADLs)(1)
Older adults will need non-medical home care by 2040(2)
Annual cost for patients readmitted within 30 days of discharge(4)
3 in 4
Seniors live with multiple chronic conditions(1)
Annual Medicare spend on avoidable hospital readmissions after discharge(3)
Annual waste on poor care transition management(5)
The Future of Healthcare is in The Home
CareLinx works with health plans to incorporate non-skilled in-home care under supplemental benefits.
CareLinx services also extend the reach of health plans to provide actionable insights and reduce costs and plan utilization for high risk members.
Offer a service your members truly love – Our unique program empowers people to thrive at home. Careful matching ensures a strong relationship between caregivers and members.
Reduce costs and utilization – Our nationwide network of caregivers are employed directly by members, which means higher-quality care at a lower price. With superior care in the home when it’s most needed, utilizations and readmissions go down.
Expand control and visibility – Our app allows caregivers to report on your member’s progress in real-time, providing you insights you can use to identify potential problems and intervene before conditions deteriorate.
Simple implementation – Our turnkey implementation allows for rapid deployment.
Including Home Care in MA Plans Gets Clear and Measurable Results
It’s not just members who will benefit. By incorporating home care into Medicare Advantage plans, the country’s largest health payers will also see:
Improved Health Outcomes – Enhanced member satisfaction, assistance with closing gaps in care, promotion of self-management
Reduced Medical Costs – Reliable home support post-discharge, reduced emergency room and hospital readmissions for high-risk members, shortened post-acute skilled services, reduced total cost of care through scalable in-home care management
Enhanced Quality Performance – Enhanced support and member experience impacts STARs/CAHPS bonus potential and may lead to membership growth over time
Reputation Value – Positive Medicare experiences for members and family caregivers leads to better retention and promotion of the health plan across communities
Download our FREE case study: Early Intervention in the Home Positively Affects Member Outcomes
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Why Members Love CareLinx Home Care
Personalized caregiver matches
Dedicated advisor services
Highest quality, professional caregivers
The Member Journey
1 A member is discharged from the hospital after an acute episode.
2 The care management team identifies and refers members who need ADL/IADL support at home to CareLinx.
3 A dedicated CareLinx Care Advisor calls the member and guides them through the matching process.
4 The member reviews, interviews, and hires the perfect caregiver for the job.
5 Through the CareLinx built-in care plan and electronic visit verification, the caregiver delivers superior care and captures real-time health data for the members’ clinical team.
6 The CareLinx caregiver provides visibility into health issues before health declines, enabling prevention and intervention opportunities in real time.
Quality: Highest industry NPS
Experienced: Proven success implementing VAIS with providers and plans nationwide
Nationwide: Single vendor contracting
Turnkey: Efficient deployment
The CareLinx Difference
Highest quality, background checked, Medicare compliant
Electronic Visit Verification via GPS
HITRUST certified and HIPAA compliant
Dedicated advisors coordinate home care
Population health dashboard
Flexible data integration