Tag: Yelena Brusilovsky
Market Access: Create value, share risk
April 13, 2026Yelena Brusilovsky
Q. How can HME providers move beyond fee-for-service to support capitated or risk-sharing payment models?
A. The current demographic trajectory and the escalating complexity of chronic care management have necessitated a fundamental shift in payer strategy. With aging in America accelerating, the home has become an important focal point of value-based care. Payers are shifting from transactional, unit-based cost management toward alternative payment models that favor value creation, shared risk...
Market Access: Navigate shifting networks
February 17, 2026Yelena Brusilovsky
Q. Several major insurers are scaling back their Medicare Advantage footprints in 2026. How will this geographic “recalibration” affect HME providers and patients?
A. The Medicare Advantage (MA) market is shrinking for the first time in 20 years. Driven by rising health care utilization and shifting federal reimbursement, payers have adjusted their geographic participation, streamlined their MA offerings, or exited the market entirely.
While...