CMS: Hundreds of Medicare Advantage Plans Preparing to Roll Out New Home Care Benefits in 2020

As more Medicare Advantage (MA) plans prepare to roll out new home care benefits in 2020, premiums are expected to drop 23% next year, the Trump administration announced Tuesday. The news comes as more and more entrants continue to break into the market — and as the Centers for Medicare & Medicaid Services (CMS) prepares […]

At-Home Care Fueling Disruptive Medicare Advantage Startups

The Medicare Advantage (MA) landscape is heating up like never before, largely thanks to continued flexibilities from the Centers for Medicare & Medicaid Services (CMS) that allow plans to cover a variety of nonmedical benefits.  Plans’ newfound ability to offer supplemental benefits such as home care and transportation for certain beneficiaries is drawing a number […]

Bill That Could Increase Home Health Labor Costs Signed into Law

A labor bill that widens the scope of who is considered an employee in one state has been signed into law. California Governor Gavin Newsom, a Democrat, signed the legislation Wednesday — potentially creating problems for some home health and hospice providers there going forward. “It will definitely have implications for [home-based] care,” National Association […]

Oscar Health Taps Former Uber Executive Ahead of Medicare Advantage Rollout

Oscar Health has hired a former Uber (NYSE: UBER) executive as its new chief operating officer. Meghan Joyce, who was previously a regional general manager at Uber, will fill the position, which has been open since 2016, according to the health insurance startup backed by Google’s parent company, Alphabet Inc. (Nasdaq: GOOGL). “Meghan possesses an […]

[Updated] Walmart Health, Amedisys Partner to Expand Home Health Access Nationwide

Amedisys Inc. (Nasdaq: AMED) and Walmart (NYSE: WMT) have entered into a new partnership to expand home health care access nationwide, according to an analyst report from William Blair. The global investment and wealth management firm has learned that Baton Rouge, Louisiana-based Amedisys is part of the retail giant’s new health care initiative, dubbed “Walmart […]

Consumer-Directed Regulatory Changes Trigger Home Care Layoffs, Possible Closures

Less than three weeks in, regulatory changes in one state are already threatening to shrink the home-based care workforce there. The news comes out of New York, following Sept. 1 changes to the state’s Consumer-Directed Personal Assistance Program (CDPAP), which allows seniors and people with disabilities who receive Medicaid-certified home care to choose their own […]

How Therapy Management Can Lead to Top Star Ratings Under PDGM [Sponsored]

The home health industry is just a few short months away from the biggest reimbursement overhaul it’s seen in nearly two decades: Patient-Driven Groupings Model (PDGM). As the new model’s Jan. 1, 2020 implementation nears, providers nationwide are preparing to navigate its complex changes. That’s especially true when it comes to therapy utilization, which will […]

Data Analytics Arms Race Continues Ahead of PDGM

With the implementation of the Patient-Driven Groupings Model (PDGM) less than four months away, agencies continue to prepare for the biggest reimbursement change the industry has seen in about 20 years. Technology and data providers are rolling out tools to help agencies rise to the challenge. Most recently, WellSky launched a new data analytics solution […]

New Law Could Increase Home Health, Hospice Labor Costs 30%

Lawmakers in one state recently passed a labor bill that could be damaging to the bottom lines of many home health and hospice agencies there. California’s Assembly Bill 5 (AB 5) passed in the Senate Wednesday and is headed to the desk of Governor Gavin Newsom, who is expected to sign the proposed legislation into […]