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 […]
Humana
Humana Inc. (NYSE: HUM) remained in the headlines Friday, this time after being linked to Walmart (NYSE: WMT) in potential deal talks. Earlier this week, it was confirmed that Cigna Group (NYSE: CI) and Humana Inc. (NYSE: HUM) have already been in touch about a potential combination. But on Friday morning, the research advisory company […]
Home-based care startups and large payer-provider hybrid companies are not alike in many ways. One way in which they are similar, though, is their belief that they can drive care in the home forward. That’s one takeaway from a recent panel discussion that took place at the 2023 HLTH conference. A company like Humana Inc. […]
Humana Inc. (NYSE: HUM) – despite looming cuts and potential clawbacks from the Centers for Medicare & Medicaid Services (CMS) – still sees Medicare Advantage (MA) as a major growth opportunity. “What we’ve seen, and the way we’ve structured our benefits, is to really try to understand what the top benefits are, and not alter […]
CenterWell Senior Primary Care – a part of Humana Inc. (NYSE: HUM) – is expanding into the home. It announced Wednesday that, in select Georgia and Louisiana locations, patients would be able to receive at-home primary care services under its “CenterWell Primary Care Anywhere” program. CenterWell is Humana’s senior care services arm. It includes pharmacy, […]
Home-based care dealmaking trends generally give a good idea of what’s going on in the space at large. They show you where the money is headed, and where it’s not. They show you where the Centers for Medicare & Medicaid Services’ (CMS) stroke of the pen has impacted investment or transaction activity. The trends show […]
Humana Inc. (NYSE: HUM) leaders see home-based care as a longer-term opportunity that has the potential for continued expansion. They also view it as complementary to many of their other long-term goals, but namely the further pursuit of value-based care models. They expressed these sentiments during a presentation at the BofA Securities Healthcare Conference on […]
The nature of home health provider-Medicare Advantage (MA) plan relationships has slowly begun to change, as some organizations have found ways to successfully work together and derive value from these collaborations more effectively. One factor that is changing the nature of payer and provider relationships is that there’s no denying that MA enrollment is on […]
In late February, Humana Inc. (NYSE: HUM) announced that it would be exiting the Employer Group Commercial Medical Products business, meaning it would further focus on Medicare Advantage (MA), Group Medicare, and, of course, its CenterWell health care services arm. The company offered up the rationale for that move – as well as its future-facing […]
Humana Inc. (NYSE: HUM) and kidney care provider Monogram Health have reached a new value-based care agreement for Humana Medicare Advantage members in four southern states. Most Humana Medicare Advantage HMO and PPO plan members in Tennessee, Alabama, Louisiana and Mississippi can now access Monogram’s specialized resources, which include in-home primary and specialty care visits, […]
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