CMS Taking ‘Laissez-Faire’ Approach to Direct Contracting

Signify Health’s (NYSE: SGFY) leaders are as cautiously optimistic and encouraged by the prospects of direct-contracting models as almost anyone. For now, Signify works with the government to give the Centers for Medicare & Medicaid Services (CMS) insight on how the models could work in the future. The company also works with adjacent organizations that […]

Amedisys Looks to Pull Away from the Home Health Pack with ‘No Brainer’ Contessa Deal

Aging-in-place company Amedisys Inc. (Nasdaq: AMED) on Wednesday announced plans to acquire hospital-at-home pioneer Contessa Health for $250 million. From a nuts-and-bolts perspective, the deal — expected to close later this summer — makes a ton of sense for Amedisys. Among the strategic benefits, for example, it gives the Baton Rouge, Louisiana-based company an unprecedented […]

Health Care Operators Confident CMS Hospital-at-Home Waiver Will Become Permanent

The explosion of hospital-at-home programs in the U.S. is partly thanks to the Centers for Medicare & Medicaid Services’ (CMS) “Acute Hospital Care at Home” waiver, which will last as long as the public health emergency (PHE) is active. And it’s not shocking that health systems, hospitals and home-based care agencies helping to facilitate hospital-level […]

Recognizing Future Threats to the In-Patient Model, California Health System Launches ‘Hoag at Home’

Another large health system is making a concerted effort to provide home-based care services to its patients. Newport Beach, California-based Hoag Memorial Hospital Presbyterian announced Wednesday that it has launched Hoag at Home, which will provide a slew of at-home care services. “I think hospitals kind of are seeing the future and some of the […]

MedPAC: CMMI Should Consider a ‘Smaller, More Harmonized’ Portfolio of Alternative Payment Models

To reduce redundancies and confusion in the Medicare system, health care policymakers should consider implementing “a smaller, more harmonized” portfolio of alternative payment models (APMs). That’s according to the Medicare Payment Advisory Commission (MedPAC), which released its regular June report to Congress on Tuesday. “In many cases, providers participate in multiple [alternative payment models] simultaneously, […]

Attracted by Risk-Bearing Capabilities, Humana Acquiring Provider-Convener onehome

Humana Inc. (NYSE: HUM) announced Monday that it has entered into an agreement to acquire onehome, a home-focused, post-acute care company. The acquisition brings the Louisville, Kentucky-based Humana closer to its goal of being one of the premier home-based care providers in the country, its executives believe. Officially dubbed “One HomeCare Solutions,” the Miramar, Florida-based […]

Clover Health Announces In-Home Primary Care Expansion, Becomes New Target for Reddit Traders

Clover Health (Nasdaq: CLOV) announced Wednesday that it plans to scale its in-home primary care program, “Clover Home Care,” through the new direct-contracting model from the U.S. Centers for Medicare & Medicaid Services (CMS). The announcement came as Reddit’s investor community also targeted the health care company as its most recent cause. Headquartered in Nashville, […]

Humana Crafts Direct-Contracting Plans Around Senior Care Centers, Home-Based Care

In March, Humana Inc. (NYSE: HUM) announced a new brand that would combine its “Partners in Primary Care” and “Family Physicians Group” into one. Those two payer-agnostic, senior-focused sects of Humana became “CenterWell Senior Primary Care.” The newly named senior care organization is now venturing into original Medicare through direct contracting with the federal government. […]