In terms of home-based care providers’ relationship with payers, Aveanna Healthcare Holdings Inc. (Nasdaq: AVAH) CEO Jeff Shaner believes that the next few years will be “transformative.” Providers will have to be intentional in their agreements to reach the future success they desire, Shaner believes. He said so on Tuesday during a panel discussion at […]
Category: Medicare Advantage
Home health providers could be facing a “doomy, gloomy” landscape in 2024, fresh off of two years that could be characterized as, well, doomy and gloomy. On Monday at the Home Care 100 conference in Scottsdale, Arizona, Partnership for Quality Home Healthcare CEO Joanne Cunningham tried to emphasize the positives, while also recognizing the realities. […]
In 2023, the decreasing influence of COVID-19 did not mitigate the overall operating pressures home health providers were forced to face. In the new year, there still remains plenty of opportunity, but much to work through to tap into that opportunity. More proposed rate cuts to home health reimbursement are expected from the Centers for […]
WellBe Senior Medical has received an investment from CVS Health Ventures, the corporate venture capital arm of CVS Health (NYSE: CVS). The company did not disclose the investment amount. The funds will further fuel WellBe’s national expansion. Currently, the company operates in seven states across the U.S. Most recently, it set up shop in Oregon. […]
‘We Need To Go Where The Patients Are’: How Home Health Agencies Are Adjusting To Medicare Advantage
Medicare Advantage (MA) enrollment has been on a steady climb over the last two decades. As such, home health agencies have started to adjust operations to better fit the payer landscape in the future. Agencies in states like Michigan, Hawaii and Alabama have already had to do that — and those transitions haven’t been seamless. […]
In the first year that truly felt “post-COVID,” home-based care providers did not see a shortage of challenges. Instead, in 2023, home health providers saw another year defined by payment struggles, with both the Centers for Medicare & Medicaid Services (CMS) and Medicare Advantage (MA) plans. Home care providers, meanwhile, were still grappling with high […]
Home health providers have griped with their Medicare Advantage (MA) plan partners for years over poor rates, claim denials and increased administrative burden. Providers have stopped short of banding together to deny coverage for these plans, but some of the top companies have reallocated capacity to “preferred payers.” In the end, though, it may not […]
A class-action lawsuit was filed against Humana Inc. (NYSE: HUM) in Kentucky on Tuesday. The company is the latest insurer under fire over its alleged utilization of AI to dictate or deny post-acute care. Humana Medicare Advantage (MA) beneficiaries, specifically, filed the lawsuit, alleging that the company illegally used algorithms to limit post-acute care services. […]
CVS Health (NYSE: CVS) held its investor day Tuesday, which included company leaders’ ambitious plan for the future. That plan includes a synchronization of its health care delivery arm with the rest of the enterprise, and that health care delivery arm, of course, includes home-based health care. “We said we wanted to be in primary […]
Humana Inc. (NYSE: HUM) has formed a partnership with CINQCARE, a health care company that delivers care in the home and community. “At Humana, our unwavering commitment has always been to provide high-quality care and improve health outcomes,” Julie Mascari, president of Humana Northeast regional Medicare, said in a press statement. “By combining our expertise […]
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