CenterWell President Sanjay Shetty: ‘It’s Time To Give Home Health Its Due’

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 […]

Home-Based Care M&A Downturn Partly Driven By Biden Administration’s Attitude Toward Dealmaking

In addition to high interest rates, there’s another factor slowing down health care and post-acute care M&A, according to a new report. Released last week, Pitchbook’s Q4 health care services report shines a light on the Biden administration’s antitrust and private equity stances, and how those may be affecting dealmaking. For instance, the Humana Inc. […]

Top Home Health Trends For 2024

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 […]

Recent Medicare Advantage Developments Bode Well For Home Health Providers

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 […]

Class-Action Lawsuit Accuses Humana Of AI-Driven, Post-Acute Care Claim Denials

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. […]

Cigna Group, Humana Suspend Negotiations Around A Potential Combination

Cigna Group (NYSE: CI) and Humana Inc. (NYSE: HUM) are reportedly no longer in deal talks. The two parties could not agree on a fair price, and there was also shareholder disinterest in a potential combination. The Wall Street Journal first reported on the suspension of talks on Sunday. Together, the two companies would have […]

How A Cigna-Humana Combination Could Alter Home-Based Care In The US

Over the last week, a potential Cigna Group (NYSE: CI) and Humana Inc. (NYSE: HUM) combination has gone from a rumor to a real possibility. After I reported on the topic for Home Health Care News on Tuesday, Reuters and The Wall Street Journal confirmed that the two companies were in talks, on Wednesday and […]

Humana Partners With CINQCARE To Deliver Home-Based Care To Medicare Advantage Members

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 […]

Rumors Swirl Around Potential Cigna Group-Humana Combination

Rumors suggesting that Cigna Group (NYSE: CI) and Humana Inc. (NYSE: HUM) are in talks to combine are swirling. Nothing is official yet, but the combination of two of the largest insurers in the country would have significant ripple effects on the home health industry, for a variety of reasons. On Nov. 6, Reuters first […]