Designing and delivering home-based care for dual-eligible populations | Oren Shatken + Romanos Fessas (Jukebox Health)

Oren Shatken and Romanos Fessas, co-founders of Jukebox Health, join us to discuss how home-based interventions can improve outcomes and reduce costs for long-term services and supports (LTSS) populations. They explain the economics of LTSS and dual-eligible members, why keeping people safely at home matters, and how occupational therapist–led assessments and home modifications can drive measurable ROI for health plans.

The conversation covers Jukebox’s operational model — building OT and contractor networks, partnering with plans on outcomes-based contracts, and delivering interventions that improve independence while preventing costly utilization. They also share real-world examples, lessons from working with Medicaid populations, and what’s next, including proactive monitoring and AI tools for care managers.