LHC Group’s Innovation Head: ‘Within 10 Years, We’ll See the End of Fee-for-Service as We Know It’

Thanks to leadership changes at the federal level, the evolution of Medicare Advantage (MA) and a seemingly constant flow of new value-based payment models, providers should begin to plan for the end of fee-for-service Medicare. That’s according to LHC Group Inc. (Nasdaq: LHCG) Chief Strategy and Innovation Officer Bruce Greenstein, who discussed the future of […]

Walgreens Still Bullish on ‘Small But Important’ Senior Care Clinics

In the summer of 2018, the pharmacy retail business of Walgreens Boots Alliance (NYSE: WBA) announced it was forming a unique partnership with insurance company Humana (NYSE: HUM) focused on community-based senior care. Initially, the partnership — operated by Humana subsidiary Partners in Primary Care — launched inside two Walgreens stores in Kansas City, Missouri. […]

Lyft, Sutter Health Tackle Home Health Roadblocks in New Transportation Partnership

Ride-hailing giant Lyft Inc. (Nasdaq: LYFT) announced Monday that it’s teaming up with California-based nonprofit health system Sutter Health. And one of the key aims of the partnership is to help Sutter’s home health employees with transportation to and from patients’ homes. With Lyft as a resource, Sutter — a big home health organization in […]

Rising Costs, PE Takeovers and Medicare Advantage: Top Trends in Home Care for 2020

A decade ago, home care was seen as a cottage industry. Today, it’s a multibillion-dollar market made up of thousands of individual businesses, several of which operate from coast to coast and have thousands of caregivers on staff. The home care industry in 2020 will be defined by record-setting private equity activity and providers’ pursuit […]

More Home Health Participation Likely, as Number of ACOs Taking Downside Risk Doubles

The latest ACO numbers from the Centers for Medicare & Medicaid Services (CMS) are in — and home health providers should be paying attention. More than two years ago, the Trump administration made major changes to the Medicare Shared Savings Program for accountable care organizations (ACOs), arguably the biggest value-based payment program in fee-for-service Medicare.  […]

Anthem, Aspire Exec Brad Smith to Lead Medicare’s Innovation Center

The Centers for Medicare and Medicaid Innovation (CMMI)’s new director is Brad Smith, the U.S. Department of Health and Human Services (HHS) announced Monday. Previously, Smith co-founded and worked as the CEO of the home-based palliative care provider Aspire Health before it was sold to national insurance giant Anthem in May 2018. He most recently […]

Hospital-at-Home Models Are 38% Cheaper Than Traditional Hospital Stays

Hospital-at-home patients are less often readmitted within a 30-day period after discharge than people who were treated in a traditional hospital, a recent study published in the Annals of Internal Medicine has found. As part of the study — led by Brigham and Women’s Hospital and Partners HealthCare System — researchers conducted a randomized controlled […]

‘Sick-Care Silos,’ Medicare Advantage and Market Exits: Home Care CEOs Look Ahead to 2020

Once considered an afterthought, non-medical, in-home care took on newfound importance in 2019. Many home care CEOs predict that momentum will continue in 2020, especially as risk-based arrangements among providers become more common. Medicare Advantage and outcomes-related health data are also positioned to play leading roles in home care next year, industry leaders believe. The […]