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onehome ‘ahead of the game’ with value-based care

onehome ‘ahead of the game’ with value-based care

Ramon FaleroMIRAMAR, Fla. – The latest Medicare Advantage company to be drawn to onehome’s model of both managing benefits and providing care to patients: Devoted Health.

onehome partnered with Devoted Health in April to expand care to that plan’s members in Arizona, Ohio and San Antonio, Texas.

“Managed care plans are our target audience and we understand what they are about,” said CEO Ramon Falero. “As far as the future, based on language from CMS about bundled payments and value-based care, in general, I feel we are ahead of the game in terms of our model.”

With this latest partnership, onehome now serves more than 1 million members in eight states.

onehome launched in 2013 and spent the first few years building out assets and developing proprietary software that could serve as a benefit manager and a portal to health plans and care providers. In 2017, it acquired its first home health agency, in south Florida, to bring the “health provider asset” in house, says Falero.

“We felt we were missing the quality aspect we could achieve by owning agencies,” he said. “We plan to expand further. We have a pipeline in place today that puts us on the map for millions of lives in different states.”

On the provider side, onehome started out focused on DME, home infusion and home health, but it has expanded its programs to include rehab, skilled nursing and wound care management.

“We want to be all things in the home,” said Falero. “We’re trying to figure out how to become more of an orchestrator of the right site of care, moving out of SNFs and into the home.”

onehome views the patient experience holistically, serving as one point of contact for patients, says Falero.

“There’s nothing more difficult for a patient than to receive multiple calls from multiple providers,” he said. “We set expectations as to when and how in a seamless fashion.”

onehome's model perfectly positions the company not only for the increase in value-based care but also the increase in home care, in general, says Falero.

“If anybody was on the fence, the American public is now much more accustomed to doing everything at home,” he said. “COVID made everyone realize you can deliver quality care in the home for less and it’s where everybody wants to be.”


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