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tango Bloomberg Television

Bloomberg Television: Watch tango on Inside Business Today

Better Care from Hospital to Home

Watch tango on Inside Business Today

Leaving the hospital is only the beginning of recovery. What happens next can make all the difference in whether a patient gets the care they need and stays safely at home.

tango works with health plans and home health agencies to manage that journey. By supporting transitions to the home, tango helps members access the services they need, rewards providers for quality outcomes and takes financial accountability for the cost of care.

tango CEO Brian Lobley joined Inside Business Today hosted by Bill and Giuliana Rancic, which aired nationally on Bloomberg Television, to discuss how tango helps health plans and providers improve that transition for Medicare Advantage members. The segment also featured tango’s partnership with AmeriHealth Caritas, offering a look at that approach in practice.

Watch the Full Segment


 

Helping Patients Recover at Home

Hear about:

  • Getting care started: Helping patients connect with the care and support they need after a hospital stay.
  • Paying for better outcomes: Aligning provider payments with quality and recovery.
  • Putting the approach into practice: Featuring tango’s partnership with AmeriHealth Caritas and its work to improve the hospital-to-home journey.

Read the Announcement

Learn more about tango’s appearance on Inside Business Today and the work featured in the segment.
Read the press release

 

Let’s Talk About Your Post-Acute Strategy

Talk with tango about helping your Medicare Advantage members get timely post-acute care, recover safely at home and avoid unnecessary hospital stays—with accountability for outcomes and costs.

Connect with tango at hello@tangocare.com.


Listen on iHeart:

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Inside Business Today-tango

Inside Business Today with Hosts Bill and Giuliana Rancic Highlights tango’s Value-Based Approach to Home Health

Inside Business Today with Hosts Bill and Giuliana Rancic Highlights tango’s Value-Based Approach to Home Health

CEO Brian Lobley discusses how aligning health plan and provider incentives can expand access, improve outcomes and lower costs

[Chicago, IL] – October 6, 2026 – tango, a risk-bearing home health management company, will be featured on Inside Business Today hosted by Bill and Giuliana Rancic, in a segment examining how a different approach to managing and paying for care can improve access for Medicare Advantage members while lowering costs for health plans. The feature story will air nationally on Bloomberg Television on October 9, 2026 at 8:30 PM PST / 10:30 PM CST.

The segment features CEO Brian Lobley explaining how tango combines provider networks, care coordination and value-based payment arrangements to help Medicare Advantage members receive timely care at home. Through its risk-bearing arrangements, tango takes financial responsibility for the services it manages and delivers savings to participating health plans. The segment also features Chris McDade, president of Medicare Markets at AmeriHealth Caritas, who provides a health plan perspective on improving access to home health services and supporting smoother transitions from hospital to home.

Demand for home-based care is increasing at a time when home health providers are facing significant workforce constraints. For patients, that creates a gap between leaving the hospital and beginning the care they need to recover safely at home. tango is working to close that gap. tango manages home health services for Medicare Advantage plans, connecting members with care while coordinating the transition from hospital to home.

“Health plans need predictable costs, providers need payment arrangements that support good care, and patients need an agency that can actually accept them,” Lobley said. “Our model brings those needs together. We take financial responsibility for the care we manage and build provider partnerships that reward access and outcomes. Helping a patient get timely care at home is central to how we deliver value.”

Traditionally, health plans use lower reimbursements or utilization management to control post-acute spending. tango instead rewards home health agencies on access, quality, and outcomes, sharing in savings it creates, aligning the interests of health plans and providers around the patient.

“tango is tackling a healthcare challenge that becomes very easy to understand when you look at it through the eyes of the patient,” said Bill and Giuliana Rancic. “If someone is ready to leave the hospital but can't access the care they need at home, the entire recovery process can be affected. Their approach is about making that transition smarter, faster, and more coordinated.”

Today, tango is expanding its national provider network and health plan partnerships as Medicare Advantage enrollment and demand for home-based healthcare continue to grow. tango manages about two million members across 10 states.

tango places all qualified home health referrals and accelerates start-of-care timelines by roughly two days compared to unmanaged populations—an improvement associated with lower utilization and stronger recovery at home. In past partnerships, tango-managed patients experienced 28% lower 30-day hospitalization rates and 35% lower readmissions compared to national benchmarks, while achieving 98% patient satisfaction.

“We’re excited to feature tango on Inside Business Today because they’re addressing a complicated healthcare challenge with a very clear objective: helping patients get the care they need when they need it,” said Gila Stern, Vice President of Production. “Their story demonstrates how technology, coordination, provider partnerships, and aligned incentives can come together to improve the transition from hospital to home while also creating greater efficiency across the healthcare system.”

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About tango
tango is a leader in post-acute benefit enablement services, empowering patients to remain in their homes as they receive quality healthcare. tango provides value-based care enablement platforms for payors, risk-bearing entities, and providers to collaboratively serve Medicare Advantage, Managed Medicaid, and dual-eligible populations. The result is higher quality care, improved access, better patient outcomes, reduced total cost, enhanced Stars performance, and simplified administration. For more information, visit www.tangocare.com.

About Inside Business Today
Inside Business Today, hosted by Bill and Giuliana Rancic, is a premier business series exploring innovation, leadership, and transformative ideas across industries. Airing on Bloomberg Television (as sponsored programming) and ReachTV, the show inspires audiences with insights from visionaries driving meaningful change. Learn more at insidebusinesstoday.com.

Media Contacts:
Gila Stern
gstern@btvshow.com
561-929-6536

David Pittman
Pittman Policy Strategies
david@pittmanpolicy.com


Read the Full Article

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tango-wellsky blog

How tango and WellSky connect post-acute care

How tango and WellSky connect post-acute care

A patient is ready to leave the hospital, and their doctor refers them for home health services. Yet that referral alone does not guarantee that the next care team has the clinical information or that services will begin when the patient needs them.

For the patient, this can mean spending more time in the hospital or recovering at home without the necessary support. For health plans, this can result in higher costs and possible readmissions or avoidable emergency department visits.

Closing those gaps is central to the collaboration between tango and WellSky. Together, they deliver a fully integrated, post-acute care episode management program for health plans focused on facilitating high quality, end-to-end post-acute care management. The partnership aligns incentives for health plans, risk bearing entities, providers, and patients across the post-acute continuum. It connects information, clinical coordination, and financial accountability needed to help patients reach the right setting and continue their recovery.

Connecting the path from hospital to home

Post-acute care involves several organizations working through separate systems and processes, and in some cases, across different facilities. Each may manage its part of the patient’s care, including the referral, payment, care, and follow-up.

WellSky and tango bring complementary capabilities that work to connect the otherwise fragmented care. WellSky supports facility-based post-acute care, including skilled nursing, inpatient rehabilitation, and long-term acute care hospitals. tango manages the home health portion, including authorizations, referrals, networks, and ongoing clinical support.

The goal is to help patients receive the care they need in a setting that can safely support them with a clear plan for what comes next.

Making better coordination worth the work

WellSky technology helps care teams gain visibility into a patient's care journey, while tango’s value-based payment model helps align financial incentives.

tango accepts full financial accountability for home health performance and can use episodic payments and shared savings to reward agencies for timely care, quality, and member experience. That gives home health agencies a financial stake in a successful recovery. For agencies, the partnership means referrals are better supported, helping them assess a patient’s needs and prepare to take over care.

In a recent video conversation, tango CEO Brian Lobley and WellSky CEO Bill Miller describe how this combination of connectivity and aligned incentives brings hospitals, post-acute providers, and health plans together around the patient’s recovery.

Results that patients and plans can feel

The partnership’s results show what coordination can deliver:

  • Faster home health starts: For a large regional payer, average time to start care was 0.9 days, compared with a contractual target of 3.5 days.
  • Strong member experience: Home health member satisfaction ranged from 95% to 100% across four markets for a national payer.
  • Financial impact: Millions in savings generated within the first year of management.

Across tango’s broader book of business, the company experiences a roughly 10% 30-day readmission rate, compared with a national average of about 15%. These results reinforce why tango focuses on enabling access to home health, supporting the patient and helping them recover at home.

For patients, the experience depends on what happens once they get home. Can they get to their follow-up appointment? Do they have meals available while they recover? Who can help when a new need arises? tango’s care coordination team helps members work through these needs, including connecting them with meal and transportation benefits available through their health plan. That ongoing support helps patients and families manage the practical challenges of recovery alongside the clinical care provided by a nurse or therapist.

For health plans, the opportunity is to manage each member’s post-acute care as a connected episode, with accountability that follows the patient across settings. For patients, it means greater confidence that leaving one care team comes with support from the next.

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Fighting Fraud and Waste in Home Health Starts Before the Claim

Preventing Fraud and Waste in Home Health Starts Before the Claim

Preventing Fraud and Waste in Home Health Starts Before the Claim

tango helps health plans make sure home health care is appropriate before money is wasted by managing the patient journey clinically, not just analyzing claims afterward.

As federal policymakers intensify efforts to combat fraud, waste, and abuse in Medicare, home health has emerged as a top area of focus. In May, the Centers for Medicare and Medicaid Services (CMS) imposed a six-month nationwide moratorium on the enrollment of new home health agencies, citing concerns about fraud risks and the need to prevent new high-risk providers from entering the Medicare program.

But for Medicare Advantage plans, who already have established fraud, waste, and abuse programs, the more immediate opportunity is less about detecting fraud and more about making sure the home health benefit is being used appropriately, ensuring that services are medically necessary, properly utilized and delivered by high-quality providers.

That requires asking questions before and during care, not simply analyzing a claim retrospectively. Is the home health agency properly licensed, accredited where applicable and in good standing? Does the referral support a need for skilled
home health services? Is the patient improving? Are continued visits medically necessary? Is home health still the right setting

Those questions do not replace a health plan’s existing fraud, waste and abuse safeguards. They add another layer of protection; one built around specialized knowledge of how home health should work, supporting quality outcomes and what appropriate care should look like over time.

Start Before the First Home Health Visit

This is where specialized home health management can add value. In delegated arrangements, tango has visibility across the provider network, the referral, authorization process, claims and the episode of care. That makes it possible to evaluate utilization at several points throughout the patient journey before it becomes simply another paid claim.

Step One: Validate the Agency

The first line of defense is knowing who is providing the care. tango credentials participating home health agencies to verify that they meet applicable requirements, are in good standing and have the required Medicare credentials. tango also builds and manages networks around agencies that can reliably accept referrals, start care promptly and deliver high-quality outcomes.

Step Two: Validate the Referral

When a referral comes in, tango verifies member eligibility, reviews the requested services and determines whether home health is the appropriate setting. A new referral shortly after a previous episode ended may be entirely appropriate, but it also raises an important question: Why is the patient returning to home health so soon?

Step Three: Validate Care as it Continues

Once care begins, tango clinicians review requests as the episode unfolds and evaluate whether the patient is making expected progress. Reviewers use Medicare coverage criteria, clinical guidance and information about the patient’s condition and progress to assess whether services remain medically necessary and appropriate as needs change.

For example, a patient recovering from knee replacement may initially need home-based physical therapy but eventually progress to the point where outpatient therapy is more appropriate. The goal is not to establish predetermined visit limits. It is to make sure services remain clinically appropriate, medically necessary and aligned with the patient’s evolving needs throughout the episode of care.

Claims Tell Part of the Story. Clinicians Provide the Context.

Medicare Advantage plans already have claims analytics, compliance programs and other tools to identify potential fraud, waste and abuse. Specialized home health management complements those capabilities by adding clinical context. A pattern that looks unusual in claims data may be entirely appropriate for one patient and warrant closer review for another.

Understanding the difference requires professionals who know the home health benefit, expected recovery patterns and the patient’s clinical circumstances. That expertise helps health plans distinguish between care that is appropriate and utilization that may warrant further review.

tango-looking beyond claims

The Goal Is the Right Care, Not Less Care.

The same scrutiny must work in both directions. Ending home health too soon can jeopardize recovery, lead to an emergency department visit or increase the risk of a hospital readmission. Good oversight is also about matching services to what the patient needs as those needs change.

At its best, home health is about helping patients recover, regain independence, and move safely to the next stage of care. That requires a focus on outcomes, patient progress, and timely intervention, not simply the volume of services delivered. When providers, delegates, and health plans work toward those shared goals, patients benefit, and limited home health resources can be directed to those who need them most.

Helping More Patients Access the Care They Need

The consequences extend beyond healthcare spending. Home health operates within a constrained workforce, with nurses, therapists and aides in short supply in many communities. When services continue beyond what is medically necessary, those limited clinical resources may be unavailable for other patients waiting to receive the services they need.

Ensuring care remains aligned with a patient’s clinical needs can address two challenges at once. It helps promote appropriate utilization while preserving clinical capacity for patients who truly need home health. Protecting access and ensuring care remains clinically appropriate are not competing priorities; done well, they reinforce one another.

A Different Layer of Protection for Health Plans

Fraud investigations, claims analytics and compliance programs will remain essential tools for identifying suspicious billing patterns, program integrity concerns and potential misconduct. But much of the opportunity in Medicare Advantage home health happens earlier, through the everyday decisions that determine who provides the care, whether a referral is clinically appropriate, how a patient is progressing and when it is time to transition.

Health plans’ existing fraud, waste and abuse teams can identify unusual patterns and investigate potential concerns. Specialized home health management adds another layer and a different perspective: clinical insight into how care is progressing, whether services remain aligned with the patient’s needs and when a concern warrants escalation to the health plan.

The goal is to make sure patients receive the right care, at the right time, in the right place.

For health plans, that means promoting access to care while supporting appropriate utilization of services and resources. Help patients who need home health receive it. Help those who are ready to transition, transition safely. And make sure the benefit continues to deliver value, effective care, quality outcomes, and patient progress throughout the episode.

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tango Home Health Spending blog

Home Health Costs a Quarter of a SNF Stay. Plans That Manage It Capture the Difference.

Home Health Costs a Quarter of a SNF Stay. Plans That Manage It Capture the Difference

Medicare spends about $6,000 a year for patients who receive home health services. That same patient would cost more than $23,000 if they stayed in a skilled nursing facility (SNF) — nearly four times as much. Inpatient rehabilitation (IRF) runs higher still, and long-term care hospitals (LTACH) even higher than that.

As medical costs climb, the lowest-cost option in post-acute care should be getting easier to use when it is clinically appropriate. Instead, Medicare’s latest data point shows the value of home health is growing, even as the system still lacks a reliable way to make home the default when home is the preferred place for recovery.

The Centers for Medicare and Medicaid Services (CMS) recently updated data on spending and utilization in traditional Medicare for 2024. These data contain information on costs and use across a variety of settings and offer a powerful glimpse of what is driving Medicare spending. The data stretches from 2014 to 2024, giving a decade-long view of trends over time. Because Medicare Advantage plans do not report data in the same way, the clearest view of spending comes from the fee-for-service side. But since Medicare Advantage benchmarks and payment are tied to fee-for-service spending, those trends still matter deeply for plans.

The cost gap is real — and it keeps widening

Between 2014 and 2024, Medicare’s cost per skilled nursing facility user grew 48%. Inpatient rehab grew 43%. Overall Medicare spending grew 39% over that same time. The average home health user? Just 17%.

A SNF stay now costs 3.8 times what home health costs per patient, up from 3.0 times a decade ago. As the most expensive settings are rising fastest, the value of the least expensive one only improves.

Medicare Spending Per User Per Year

Home health accounts for less than 4% of total Medicare spending. And yet, when a patient leaves the hospital, the system does not always make it easy to choose the lowest-cost appropriate site of care.

To be clear, home health is not suitable for everyone. Some patients are sicker or more fragile and require more than a nurse or therapist visiting a few times a week. For them, a higher-cost, more hands-on setting may be appropriate.

But the spending gap should force health plans to think more critically about how to make the home a better option for recovery when it’s appropriate.

Just over 1 million traditional Medicare beneficiaries had a SNF stay in 2024. If even 10% of them had been cared for at home instead, Medicare could have saved more than $1.7 billion — the difference in cost between the two settings.

On top of the cost and quality arguments, there is the human one: where do people want to recover? For many patients, the answer is home, sleeping in their own bed, eating their own food, surrounded by familiar people and routines.

Share of Medicare Beneficiaries Using Each Site of Care

The problem is the pathway, and tango is different

tango is a delegated, risk-bearing post-acute partner that helps Medicare Advantage plans manage the home health benefit in a way that expands access, aligns incentives, and improves outcomes.

tango steps in when the post-acute decision is being made. It qualifies referrals, confirms eligibility, reviews clinical information, coordinates with providers, and routes patients to high-performing home health agencies. The goal is to enable care, improve outcomes, and lower the total cost of care.

tango also changes the economics for providers. Instead of paying only for volume, tango uses value-based contracts that reward agencies for outcomes. Savings are shared with the providers doing the work, creating a stronger incentive to accept the referral, start care quickly, prevent avoidable readmissions, and support recovery at home.

tango manages the home health benefit for nearly 2 million Medicare Advantage members. The 30-day readmission rate for tango-managed patients runs about 10%, compared to a national average of about 15% — roughly one-third lower. That delivers lower costs and better outcomes, in the same move.

The takeaway

Home health is the lowest-cost setting in post-acute care, it continues getting cheaper relative to every alternative, and patients are asking for it. The only thing missing is the management layer that gets the right people there safely.

Health plans that build it will generate savings and improve quality at the same time. The ones that do not will keep paying four times more for care that, ten to twelve percent of the time, did not need to happen at all.

If you are rethinking your post-acute strategy, we would welcome a conversation.

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Brian Lobley Last Visit First

The Fragmented System Keeping Grandma in the Hospital (And How to Fix It)

Podcast

Brian Lobley, Chief Executive Officer of tango | Last Visit First


Brian Lobley spent more than 20 years inside one of the country's largest health insurers before crossing the aisle to fix the problem he "helped create." Now as CEO of tango, he is building the infrastructure that gets patients home faster, keeps them out of the hospital, and actually rewards the agencies doing the work.

Tom Maxwell sits down with Brian to break down why the post-acute system is fragmented, what value-based care looks like when it actually works at the episode level, and how tango is using AI to transform clinical workflows without replacing the clinician.

He explains:

  • Why Medicare Advantage networks are broken and what payers keep getting wrong
  • How tango eliminates the referral-to-authorization gap that delays care in the critical first 48 hours after discharge
  • What value-based care actually looks like at the episode level and how providers get rewarded for it
  • Why 10 to 12 percent of SNF admissions do not need to happen and what fixing that requires
  • How AI is cutting 22-minute case reviews to five to eight minutes without replacing the clinician

Listen on Spotify:

Listen on Apple:

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tango-Pop Health Podcast square graphic

Reimagining Post-Acute Care: Why the Future of Recovery Happens at Home

Podcast

Brian Lobley, Chief Executive Officer of tango | Pop Health Podcast

In this episode of The Pop Health Podcast, Brian Lobley, CEO of tango, sits down with Coral Health Advisors Founder Meg Koepke to discuss how post-acute care is evolving and why the home is becoming the preferred setting for recovery after hospitalization. Brian shares how tango is aligning payers and home health providers through value-based approaches that prioritize faster access to care, better outcomes, and lower total cost of care. Together, they explore the implications for Medicare Advantage and emerging policy models, the operational realities of managing post-acute episodes, and what the future of home-based recovery could look like as health systems continue shifting care beyond traditional facility walls.


Listen on Apple:

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tango-ATRIO announcement

tango Partners with ATRIO Health Plans to Expand Access to Home Health Care for Medicare Advantage Members in Oregon

tango Partners with ATRIO Health Plans to Expand Access to Home Health Care for Medicare Advantage Members in Oregon

New partnership supports Medicare Advantage members statewide, marks tango’s second collaboration in Oregon

PHOENIX and SALEM, Ore. (March 16, 2026) – tango, the largest independent, risk-bearing home health benefit management solution in the nation, today announced a new partnership with ATRIO Health Plans to expand access to high-quality, value-based home health care. The collaboration went live on February 1 and supports ATRIO’s Medicare Advantage members in Oregon.

Under the partnership, tango will manage home health services for ATRIO members, using its value-based model to ensure members receive timely, appropriate care in the home following hospitalization or other acute events. By identifying high-need patients in real time and aligning incentives with high-performing home health providers, tango helps reduce delays in care, improve outcomes, and enhance the member experience.

“Rural Medicare Advantage members often face delayed or limited access to home health care following a hospital stay,” said Brian Lobley, CEO of tango. “tango was built to solve that challenge, connecting members to high-quality providers quickly and ensuring care is delivered in the home, even in harder-to-reach communities like many parts of Oregon.”

ATRIO serves Medicare Advantage members across several counties in Oregon and is known for its community-based approach and focus on personalized care. Through tango’s model, ATRIO members will benefit from faster referrals, improved care coordination, and access to a curated network of home health providers operating under value-based arrangements.

“Ensuring our members can safely recover at home is a priority for ATRIO,” said Jennifer Callahan, President & CEO of ATRIO Health Plans. “By partnering with tango, we’re strengthening access to skilled home health services and supporting smoother transitions of care for the people we serve in Oregon.”

Unlike traditional utilization management approaches that can delay or restrict access, tango’s model emphasizes collaboration with providers and rewards timely starts of care, quality performance, and positive patient outcomes.

tango places nearly all qualified home health referrals and accelerates start-of-care timelines by roughly two days compared to unmanaged populations—an improvement associated with lower utilization and stronger recovery at home. In past partnerships, tango-managed patients experienced 28% lower 30-day hospitalization rates and 35% lower readmissions compared to national benchmarks, while achieving 98% patient satisfaction.

This work marks tango’s second Medicare Advantage partnership in Oregon and doubles tango’s total managed Medicare Advantage population in the state.

The ATRIO partnership builds on tango’s continued growth nationwide as Medicare Advantage plans seek scalable, value-based solutions to improve access to home-based care amid rising costs and increasing demand. In 2025, tango expanded from four states serving roughly 1 million lives to a platform positioned to support 10 states and 2 million lives by early 2026, demonstrating speed, scalability, and replicability.

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Contact:
David Pittman
Pittman Policy Strategies
david@pittmanpolicy.com

ABOUT TANGO. tango is a leader in post-acute benefit enablement services, empowering patients to remain in their homes as they receive quality healthcare. tango provides value-based care enablement platforms for payors, risk-bearing entities, and providers to collaboratively serve Medicare Advantage, Managed Medicaid, and dual-eligible populations. The result is higher quality care, improved access, better patient outcomes, reduced total cost, enhanced Stars performance, and simplified administration. For more information, visit www.tangocare.com.

ABOUT ATRIO HEALTH PLANS. ATRIO Health Plans is an Oregon-based Medicare Advantage organization dedicated to delivering high-quality, affordable health coverage with a strong focus on member experience, preventive care, and community partnerships. ATRIO serves members across the state with plans designed to meet the needs of seniors and support healthier aging. For more information, visit www.atriohp.com.

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McKnights Home Care column

McKnight’s Home Care Column: tango’s Suriya Grima on Why Post-Acute Strategy Matters More Than Ever

McKnight’s Home Care Column: tango’s Suriya Grima on Why Post-Acute Strategy Matters More Than Ever

By Suriya Grima | March 4, 2026

Our Chief Strategy Officer, Suriya Grima, recently shared insights in a guest column published by McKnight’s Home Care, exploring the growing importance of post-acute strategy and the role it plays in improving outcomes across the care continuum.


Read the full piece on the McKnight’s Home Care website

Suriya Grima is the Chief Strategy Officer at tango. Prior to tango, she was the Vice President and General Manager of Blue Cross Blue Shield of Michigan’s Individual Medicare business and has deep experience managing Medicare. She also worked for eight years as a consultant for Deloitte Consulting.

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MA Rate Notice - Featured Image

Medicare Advantage Rates Are Tightening. Post-Acute Strategy Matters More Than Ever.

Medicare Advantage Rates Are Tightening. Post-Acute Strategy Matters More Than Ever

The recently released Medicare Advantage (MA) rate notice reinforces a reality health plans already feel every day: profit margins are under increasing pressure, and they must better manage the health of their members to survive.

Overall, the Centers for Medicare and Medicaid Services (CMS) proposed a near-flat (0.1%) update in MA payment rates in 2027, even as underlying medical costs continue to rise. At the same time, CMS data shows one area growing faster than every other category in Medicare: post-acute care — particularly home health.

Post-acute spending is driving a disproportionate share of growth in Medicare spending. Home health spending is projected to increase by more than 10%—roughly 2.5x the growth rate of inpatient care. Skilled Nursing Facility (SNF) spending is projected to grow by more than 6%, about two percentage points faster than hospital care. Because MA benchmarks are based on traditional Medicare spending, growth in post-acute Fee-For-Service (FFS) costs directly flows into plan bids, even when rates themselves remain constrained.

As home health utilization grows, home health care access is a struggle for Medicare Advantage enrollees. Workforce shortages, reimbursement pressure, and increasing administrative friction mean agencies are more selective about the patients they accept. In many markets, plans are seeing longer placement times, narrower networks, and rising provider abrasion.

Together, those trends underscore how quickly utilization and dollars are shifting downstream — even as inpatient growth remains comparatively modest — and access challenges are emerging at the same pace.

With more scrutiny to risk adjustment, plans can’t rely on rate tightening or blunt utilization controls to generate savings. Instead, CMS appears to be reinforcing a shift toward care management and total cost control, particularly in high-growth areas like post-acute care. That combination creates a clear signal for Medicare Advantage leaders. Health plans must actively manage post-acute spending or continue to see margins and outcomes to erode.

CMS 2027 Growth Rates
Source: CMS Office of the Actuary, Advance Notice of Methodological Changes for CY 2027

Home health is growing, and it’s not slowing down

According to CMS, growth in home health spending is being driven by both utilization and unit costs, reflecting broader trends of an aging population, pressure to discharge patients sooner, and strong patient preference for recovering at home.

For years, post-acute care has been managed largely through utilization controls like eligibility checks, visit caps, and administrative hurdles designed to limit volume. But those approaches were built for a different era.

Today’s challenge is delivering better care:

  • Are members getting into home health quickly after discharge?
  • Are referrals going to high-quality providers who can prevent avoidable readmissions?
  • Are incentives aligned so agencies are rewarded for outcomes, not volume?
  • Is care being coordinated across settings, or fragmented across vendors?

When post-acute care is treated as a transactional benefit rather than a managed episode, plans lose the trust of patients, providers disengage, and avoidable costs show up later, often as readmissions, ED visits, or extended facility stays.

A shift toward coordinated, value-based post-acute care

Instead, MA plans need a different solution: tighter integration, better care management, and accountability for total cost of care.

This is where tango’s model aligns squarely with the moment. By managing post-acute referrals at the point of discharge, tango reduces placement delays and increases access to high-performing providers.

Rather than relying on utilization management alone, tango actively manages post-acute episodes end-to-end. That means:

  • Improving access by reducing placement delays and directing referrals to high-performing providers
  • Aligning incentives through value-based, episodic reimbursement rather than volume-driven payments
  • Reducing friction for plans and providers by integrating referral management, utilization oversight, and claims into a single delegated model
  • Driving better outcomes through real-time clinical oversight and accountability across the episode of care

For plans, the result is a more sustainable way to manage one of the fastest-growing areas of spend without sacrificing quality or member experience. For providers, it creates predictability, partnership, and incentives that reward good care.

The takeaway for MA leaders

Margin protection won’t come from across-the-board cuts or tighter gates alone. It will come from smarter care delivery, especially in high-growth areas like post-acute care.

Plans that invest now in coordinated, value-based post-acute strategies will be better positioned to absorb cost pressure, improve outcomes, and compete on member experience. Those that don’t may find that unmanaged growth quietly undermines both financial performance and quality metrics.

Home health isn’t just a cost center. Managed well, it’s a lever for better care and a competitive advantage.

Turning Post-Acute Care into a Competitive Advantage

tango partners with Medicare Advantage plans to transform post-acute care from a cost center into a performance driver. Our delegated model improves placement speed, aligns providers around outcomes, and delivers predictable savings, all while protecting member access.

If you’re rethinking your post-acute strategy in light of the 2027 rate notice, we’d welcome a conversation.

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