If there were ever a time for Medicare Advantage-related troubles to cool off in the home health care space, now would be it. And, heading into the summer, some of the largest home health providers in the country are scoring demonstrable wins that could lead to future success. Virtually no one has the MA game […]
Category: Medicare Advantage
Humana Inc. (NYSE: HUM) announced Monday that Jim Rechtin would be succeeding Bruce Broussard in the CEO role on July 1. On Tuesday, Broussard explained why. Ultimately, the CEO succession plan had been in place at Humana for a while. Broussard has served in the CEO chair since 2013, and Rechtin was named his successor […]
Jim Rechtin, who was named Bruce Broussard’s successor at Humana Inc. (NYSE: HUM) in October of last year, will officially take over on July 1, the company announced Monday. Rechtin joined Humana as president and COO in January, and will also join the board of directors on July 1 when he transitions to CEO. “I […]
At a time when many home care providers are shutting the door on Medicare Advantage (MA), Avid Health at Home has managed to go the other way. Avid Health at Home is a home care platform backed by Havencrest Capital. The company believes that demonstrating its value through data could be what puts it in […]
Both home health care and Medicare Advantage (MA) are currently in rough rate environments. But Humana Inc. (NYSE: HUM) leaders believe in the company’s ability to continue growing MA membership with solid margins, partly by leaning into CenterWell Home Health and its other provider assets. Earlier this month, the Centers for Medicare & Medicaid Services […]
It was a turbulent start to the year for the health care giant UnitedHealth Group, driven by the cyberattack on Change Healthcare and a U.S. Department of Justice (DOJ) antitrust investigation. Amid the DOJ investigation, UnitedHealth Group’s planned acquisition of the home health company Amedisys Inc. (Nasdaq: AMED) came into focus, with reports circulating that […]
With the need for long-term services and supports (LTSS) growing, Medicare Advantage (MA) plans are positioned to offer home-based care services through supplemental benefits. That’s one key takeaway from a new data brief from the research and advisory firm ATI Advisory, though MA plans haven’t always been the best administrators of home care. The report […]
The Centers for Medicare & Medicaid Services (CMS) finalized a rule that will result in a 3.7% positive payment adjustment for Medicare Advantage (MA) plans in 2025. According to an analysis done by the private investment banking company Stephens, rates are expected to remain virtually unchanged, with a slight decrease of 0.16%. This marks the […]
At a macro level, home health organizations are struggling with Medicare Advantage (MA) for two main reasons: benefit design and reimbursement. In order to build stronger relationships with MA plans, agencies are undergoing a strategic shift in their service offerings to meet the unique challenges posed by MA patients. Those shifts include partnering with other […]
CenterWell President Dr. Sanjay Shetty knows home health care is an extremely valuable service. Unlike many other leaders, he’s in the position to prove it. For close to a year now, Shetty has led Humana’s (NYSE: HUM) health care services division, which includes CenterWell Home Health, CenterWell Primary Care and CenterWell Pharmacy. Previously, he was […]