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Aetna Working with CareLinx to Provide In-Home Services to Members

So some distance, fitness plans were enormously tight-lipped approximately their techniques for imparting in-domestic services and supports to participants under multiplied Medicare Advantage (MA) policies. They now appear like finding their voice.
On Wednesday, Aetna Medicare publicly announced for the first time it has teamed up with CareLinx and its national network of extra than 300,000 tech-enabled caregivers. Operating beneath the broader Aetna umbrella, Aetna Medicare has been running with Burlingame, California-based totally CareLinx at some point of 2019 in Arizona, California, Connecticut, Nevada, New Jersey, and Washington.
By connecting its individuals to CareLinx’s pool of vetted caregivers, Aetna Medicare hopes to aid older adults with a number everyday dwelling sports, which includes taking medication, preparing food and tackling light housework, in step with the health plan.
“Finding a qualified caregiver who assist you to or your loved one may be hard,” Christopher Ciano, head of Aetna Medicare, said in a declaration. “Resources like CareLinx will simplify the method and will join Aetna Medicare individuals to qualified caregivers who can be a part of us in supporting our members’ person needs, alternatives and overall fitness desires.”
Among home care corporations, few — if any — had been extra aggressive than CareLinx on the subject of looking MA possibilities.
In December, for instance, the enterprise rolled out a turnkey platform for potential MA companions seeking to include non-medical home care into their supplemental benefits blend. Roughly two months later, CareLinx then introduced it had received the Optimal Aging transitional care platform from Providence St. Joseph Health (PSJH), a flow that still performed into its MA targets.
CareLinx CEO and President Sherwin Sheik have repeatedly hinted at his organization’s MA relationships. Up till now, he hasn’t been unable to speak about them openly, however.
“Our whole strategy and the commercial enterprise version are all about Medicare Advantage,” Sheik instructed Home Health Care News. “Over the beyond yr or so, we’ve been talking about how we’ve got those collaborations. We’ve been running with some very large health plans — and we’ve been able to supply some superb results thus far, together with Aetna.”
It is just too early to proportion results publicly, he said, additionally declining to touch upon the wide variety of Aetna Medicare members with get entry to CareLinx-related benefits.
By working with CareLinx, eligible Aetna participants receive a special quantity of hours at no delivered value. They can also obtain discounted provider whilst more hours are needed.
2021 nevertheless ‘the massive yr’
Medicare Advantage first became relevant to the home care global in April 2018, when the Centers for Medicare & Medicaid Services (CMS) shockingly declared it might allow positive non-clinical in-home care offerings as supplemental blessings come 2019.
Earlier this year, CMS ultimately doubled down on domestic care’s position in MA, encouraging plans to, in 2020, begin experimenting with any benefits that “have an affordable expectation of improving or retaining the health or standard characteristic of beneficiaries with continual conditions.”
In preferred, MA interest in operating with home care vendors was lukewarm in 2019. Largely because of the stairs CMS has taken, that’s rapidly heating up.
“We’re seeing precisely how we idea it might play out,” Sheik stated. “But I still suppose the big yr is going to be 2021 — no longer 2020.”
Aetna, especially, is an interesting MA connection for a domestic care issuer to make. The insurance giant merged with CVS Health in a $70 billion deal last November.
CVS has been vocal approximately its aims to provide care tailor-made to older adults from its MinuteClinic locations and network-based total health hubs — an aim supported by way of its ties to the Age-Friendly Health Systems initiative.
Additionally, CVS owns Omnicare, a protracted-time period care pharmacy company to professional nursing centers (SNFs) and senior dwelling groups.