Enhabit Forecasts Growth Opportunities If Medicare Home Health Payment Rule Goes Through As Proposed

Enhabit (NYSE: EHAB) is piloting new technology that the company’s leaders hope will help the company navigate the proposed home health Medicare payment cut. While preparing for a potential 6.4% rate cut, Enhabit has identified potential upside if the final rule resembles the proposed rule, according to company leaders at the Jefferies Healthcare Services Conference […]

From Boogeyman To Buy-In: Why Home Health Providers Now Embrace Review Choice Demonstration

The Review Choice Demonstration (RCD) was a home health boogeyman when the program was announced in 2018, with industry stakeholders fearing it would cause major disruptions. Fast forward some years later and home health providers have, mostly, gotten the hang of RCD requirements – and some are even advocating for its expansion. Broadly, RCD is […]

Pennant ‘Primed’ For Southeast Growth As Amedisys, UnitedHealth Deal Nears Close

The Pennant Group’s (Nasdaq: PTNG) acquisition of home health and hospice agencies divested as part of UnitedHealth Group’s (NYSE: UNH) acquisition of Amedisys is slated to close within the first few weeks of October. With the closing of the deal, Pennant is “primed” to strengthen its southeast footprint, crafting a presence there similar to the […]

Payviders Differentiate Through Integrated, Value-Based Care

Companies operating under the payvider business model, such as VNS Health and Humana Inc. (NYSE: HUM), have pointed to the ability to provide a more integrated care experience, as well as an increased engagement with value-based care, as a key differentiator. For Humana, the clearest example of leveraging its integrated care to engage in value-based […]

Home Health Agencies On Edge Of ‘Telehealth Cliff’ As Government Shutdown Looms

Home health agencies and their patients are set to wake up on Wednesday to a new world without critical telehealth flexibilities.  Currently, home health agencies are permitted to use telehealth for home health face-to-face encounters, a flexibility that a series of short-term extensions have perpetuated. With a government shutdown looming, this ability could lapse unless […]

Compassus Gets New SVP Of Business Development; Caring Senior Service Beefs Up Leadership Team

Compassus names senior vice president of business development Drew Johnson has joined Compassus as senior vice president of business. He recently served as senior vice president of value-based care partnerships at Interwell Health, where he launched company operations, as well as developed numerous value-based care partnerships. “Drew’s impressive track record in developing partnerships and navigating […]

The Scale Strategies Powering Growth At Arosa, HomeWell, Pennant

As home-based care providers seek to capture growing demand, they face a complex path to scale that requires the ability to grow without disrupting what already works. Arosa, HomeWell Care Services, and The Pennant Group (Nasdaq: PNTG) have refined their strategies for growth, whether through acquisition or organic expansion. Demographic shifts, rising demand and innovative […]

Addressing Medicare’s Affordability Gap: Low-Income Beneficiaries Face Significant Challenges Despite Assistance 

While financial assistance programs help some Medicare beneficiaries with premiums and cost-sharing, low- and near low-income individuals still face significant affordability challenges. Standard Medicaid benefits often entail significant cost-sharing, leading to high out-of-pocket (OOP) costs for beneficiaries. Medicare requires beneficiaries to pay deductibles and coinsurance for both inpatient and outpatient care, with no limit on […]

In Home-Based Care M&A, Workforce Stability Defines Deal Outcomes

Labor pressures are becoming increasingly central to home-based care M&A strategy. Workforce-related liabilities, ranging from union agreements to retention risks, can significantly impact the success or failure of a deal. These pressures are shifting what acquirers seek in targets and how labor instability impacts integration and return on investment (ROI). “Labor continues to be in […]

Inside The Payvider Models Of Humana, VNS Health

Only a handful of companies have earned the payvider moniker — operating as both payers and health care providers. However, organizations that operate under this hybrid business model are seeing unique strategic advantages, especially on the home-based care front. Companies like Humana Inc. (NYSE: HUM) and VNS Health illustrate this growing trend, which is still […]