Court Ruling Goes Against Pro-Home Health Provider Medicare Recoupment Trend

A recent court ruling against a home health care company could mean trouble for providers struggling financially as a result of Medicare recoupment, at least one legal expert believes.   Currently, home health care providers that are overpaid for Medicare services are not required to repay the Centers for Medicare & Medicaid Services (CMS) while […]

Humana Updates Management Team, LHC Group Fills Out Board

Humana updates management team with internal hires Health insurance giant Humana Inc. (NYSE: HUM) has filled two leadership roles with internal candidates. The Louisville, Kentucky-based company has promoted Joseph Ventura to General Counsel and named Douglas Stoss interim lead for Humana’s Office of Corporate Affairs. Both will serve as members of the company’s management team. […]

Aetna, Apple Roll Out New App to Track, Reward Healthy Behavior

Apple Inc. (Nasdaq: AAPL) and Aetna — a CVS Health (NYSE: CVS) company — are joining forces on a new app. It uses the Apple Watch to help Aetna members hit their well-being goals and avoid negative health outcomes. The app — christened “Attain” — is yet another example of an insurer pursuing a creative […]

CBO: 2019 Will Be Tipping Point for Federal Spending Tied to Older Adults

The aging population of the United States and the rising cost of health care will likely cause federal spending to skyrocket over the next decade — with a noticeable spike surfacing even sooner than previously anticipated. Federal spending on programs that provide services for adults age 65 or older — Medicare and Social Security, namely […]

Senior Living Providers Expect Disruption from Increase in At-Home Services

Senior living providers in the United States believe that their business model could be significantly disrupted by the trend toward older adults aging in their own homes, which is being enabled by new technologies. This was a key finding of “The State of Senior Living: An Industry Grappling with Autonomy,” a new report from architecture […]

Home Health Deal Value Spiked 64.5% in 2018

With more than 1,180 total transactions valued at a whopping $121.5 billion, 2018 was a record-breaking year for health care dealmaking volume. The home health and hospice segments, in particular, saw the highest multiples. The latest insights into health care dealmaking come from the 2018 year-end report from international auditing and accounting powerhouse PricewaterhouseCooper (PwC). […]

Homewatch CareGivers Adds New Leadership Position to Focus on Innovation

Homewatch CareGivers has developed a new leadership position to spearhead innovation within the company. Jennifer Ramona has been named vice president of strategy and health care innovation. Previously, Ramona was the company’s director of business development. “We shifted some of [my] responsibilities with regards to the day-to-day business development to be able to really take […]

PE-Backed Simplura Health Group Completes Personal In-Home Services Acquisition

Less than a month into 2019, it’s already safe to say private equity’s interest in home care opportunities likely won’t slow down in the new year. On Wednesday, PE-backed Simplura Health Group closed on its acquisition of Personal In-Home Services, propelling Simplura into the West Virginia market and expanding its footprint to six states in […]

ComForCare Brings Brands Together Under New Platform Company

Home care giant ComForCare has announced the creation of a new platform company to unify its brands. Going forward, Best Life Brands will encompass ComForCare, fellow home care franchise company At Your Side, senior placement organization CarePatrol and any future acquisitions. Owned by New York-based private equity firm Riverside Company, ComForCare operates on a franchise […]

MedPAC Calls for Up to $2 Billion in Home Health Cuts for 2020

The Medicare Payment Advisory Commission (MedPAC) is once again calling for steep cuts to the Medicare base payment rate for home health agencies. MedPAC’s recommendation comes despite the U.S. health care system’s steady march into the home and the fact more care is being delivered in residential settings. Specifically, MedPAC officials are recommending that Congress […]