The Top 10 Home Health Care News Stories Of 2023

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 […]

The Home-Based Care Executive Quotes That Struck A Chord In 2023

To find the most memorable home-based care executive quotes in 2023, Home Health Care News employed a strategy that is part art, part science. Ultimately, the quotes chosen resonated the most with HHCN’s staff and readers. They were prescient, controversial, telling and highly relevant to provider struggles and opportunities. They touched on 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. […]

Home Health Spending Begins To Climb Again Post-Pandemic

After stalling in 2021, spending on home health care returned to a more normalized growth rate in 2022, according to a new analysis from the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). Specifically, national health expenditures on home health care increased by 6% to $132.9 billion in 2022. In […]

The Vistria Group, Centerbridge Partners Reportedly Weighing Help at Home Sale

The Vistria Group and Centerbridge Partners are “weighing options” around the future of Help at Home, including a potential sale. Bloomberg first reported the news late Tuesday, citing “people with knowledge of the matter.” Based in Chicago, Help at Home is one of the largest providers of home- and community-based services (HCBS) in the country. […]

CMS Releases Guidance Emphasizing More Tools, Funding To Support HCBS

The U.S. Centers for Medicare & Medicaid Services (CMS) is again taking steps to increase access to Medicaid home- and community-based services (HCBS). On Tuesday, the agency provided further guidance around how states can better support HCBS programs, which are both popular and sometimes hard to navigate. “For too long, American families have struggled to […]

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 […]