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Home health providers know Medicare Advantage (MA) plans will be a part of those networks, you have to go beyond that. One of the ways to succeed in this new payer environment is to understand what plans want. You have to go beyond that.

This is the evergreen challenge for value-based care. This is the evergreen challenge for weight gain on plaquenil value-based care. Other benchmarks and metrics that providers should put an emphasis on are Home Health CAHP scores, 30-day rehospitalizations, internal satisfaction surveys, length of stay times and visits per period, among others.

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Now we have lower funding to deliver the same services. That ends up becoming the goal for how we end up working with MA plans in the future.

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• acetaminophen (Tylenol);
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• birth control pills or hormone replacement therapy;
• blood pressure medication;
• cancer medications;
• cholesterol-lowering medications such as Crestor, Lipitor, Pravachol, Simcor, Vytorin, Zocor;
• gout or arthritis medications (including gold injections);
• HIV/AIDS medications;
• medicines to treat psychiatric disorders;
• an NSAID such as Advil, Aleve, Arthrotec, Cataflam, Celebrex, Indocin, Motrin, Naprosyn, Treximet, Voltaren; or
• seizure medications.

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