Category: United States

As we navigate 2025, Medicaid stands at a pivotal juncture, with potential policy shifts poised to reshape its landscape. Serving as the primary source of comprehensive health and long-term care for approximately one in five Americans, Medicaid’s future is under intense scrutiny. Currently, Congress is considering significant changes that could impact coverage, financing, and access […]

At Direct Care Innovations, we understand the vital role caregivers play in our communities, and we want to express our deepest gratitude for their unwavering commitment. Every year, on the third Friday of February, we celebrate National Caregivers Day, a time to recognize the dedication and compassion of caregivers across the country. These selfless individuals […]

Electronic Visit Verification (EVV) has become a critical tool in ensuring the integrity and efficiency of Medicaid-funded home health services. As a federally mandated system, EVV helps verify that home health visits occur as billed, reducing fraud, improving patient care, and ensuring providers receive accurate reimbursement. Direct Care Innovations‘ EVV mobile application is designed to […]

Direct Care Innovations is a healthcare technology company specializing in developing business management platforms tailored for providers, state agencies, and government organizations operating within the Medicaid, Medicare, private insurance, and managed care sectors. Our solutions streamline processes, allowing our customers to serve the direct care industry with coverage in all locations. Managing an in-home healthcare […]

Given the personal and sensitive nature of the services provided, managing an in-home healthcare business involves distinct challenges. At Direct Care Innovations, we offer an integrated business management platform that enables you to run every aspect of your business or agency seamlessly, helping you navigate these difficulties. Many businesses fail within their first year, and […]

Using Electronic Visit Verification (EVV) technology offers significant benefits for home healthcare agencies, enhancing compliance, efficiency, and quality of care. Direct Care Innovations offers a mobile application to track time and ensure EVV compliance for services delivered remotely in homes or community settings. We understand the value EVV brings and its potential to transform homecare […]

State Medicaid agencies are increasingly mandating community reinvestment requirements in contracts with Medicaid managed care organizations (MCOs). These requirements necessitate that MCOs reinvest a portion of their profits back into the communities they serve to improve health outcomes. At least ten states have adopted or are implementing such requirements. Direct Care Innovations provides solutions that […]

In partnership with states nationwide, risk-based Managed Care Organizations (MCOs) coordinate essential healthcare services for Medicaid enrollees living with intellectual and developmental disabilities (IDD). Over the last decade, COVID-19 and other global and national events have greatly influenced the utilization of risk-based MCOs. Direct Care Innovations has adapted to these changes and continues to support […]

With the ever-increasing growth of Medicaid and Medicare managed care, Direct Care Innovations is at the forefront of providing solutions that help agencies navigate these complex systems. On average, 100 million enrollees receive federal health benefits, representing a significant portion of the CMS budget. The Office of Inspector General (OIG) has released a strategic plan […]

Medicaid and Medicare have long provided access to a spectrum of healthcare services, particularly for underprivileged populations. Direct Care Innovations has been following the Centers for Medicare and Medicaid Services (CMS) as they have been updating regulations to provide efficient fiscal and operational administration without compromising quality health services. With the final CMS rule rollout […]