As In-Home Care Providers Embrace Medicare Advantage, They’ll Need to Better Manage Vulnerable Populations

For years now, the U.S. health care system has steadily moved away from a fee-for-service environment toward value-based care. Medicare Advantage (MA) growth reflects this shift, particularly when it comes to the wide spectrum of home-based care. Currently, the average home health agency gets about 55% of its funding from fee-for-service Medicare, Medicare Payment Advisory […]

Aetna Doubles Down on In-Home Physician Care, Partners with Landmark Health

Aetna is taking another step toward the home. The managed health care company announced Tuesday that it is forming a new partnership with Landmark Health in New York to bring physician-led services into the homes of Aetna’s Medicare Advantage members. The partnership further highlights a growing desire for more in-home medical and primary care, among […]

Humana’s Bruce Broussard: Consumer Demand for Home-Based Care Models Will Continue to Increase

Humana’s (NYSE: HUM) long-standing home- and community-based focus served the insurer well in Q2 2020 — a quarter dominated by the COVID-19 emergency. The coronavirus pushed more senior care into the home, boosting business for Louisville, Kentucky-based health insurance giant. As a result, the insurer doubled down on home-based care initiatives in Q2 2020 and […]

Home Health Admissions Down 2.45%; MA Enrollment Up 4%

Home health admissions saw a slight decline in volume during the fourth quarter of 2019. Meanwhile, referral trends appear to be holding steady. That’s according to recent data from PlayMaker Health, a post-acute growth platform that serves hundreds of organizations across the country. Specifically, Q4 saw a 2.45% decline in home health admissions, nationally. The […]

Leading During Disruption: How Synergy HomeCare’s New CEO Took Control Amid COVID-19 Chaos

Securing stockpiles of personal protective equipment (PPE), doubling down on company-wide training efforts and implementing educational initiatives are just some of the responsibilities that home care leadership teams have taken on during the COVID-19 crisis. While most home care agencies were navigating the public health emergency over the past few months, Synergy HomeCare’s CEO had […]

Amedisys Weary of Current Medicare Advantage Opportunities, Bullish on SNF-to-Home Diversion

Just as the Patient-Driven Groupings Model (PDGM) was slowly becoming the new normal, home health providers were hit with the impact of the COVID-19 emergency. Amedisys Inc. (Nasdaq: AMED) has weathered both storms. Now, it has its sights set on gaining market share from skilled nursing facilities (SNFs) and pursuing Medicare Advantage opportunities — but […]

Market Forecast: COVID-19’s Long-Term Impact on Home Care

The home care industry has historically been built on nonmedical services and a private-pay revenue structure. It has also long been underappreciated by the health care sector at large. But all of that’s changing. Nonmedical home care providers have proven their worth and range amid the COVID-19 crisis, keeping high-acuity seniors safe at home while […]

Rural Markets May Offer Huge Upside for Home Care Providers Looking to Break into Medicare Advantage

Many home care providers jumped at the chance to create new Medicare Advantage (MA) business lines after the U.S. Centers for Medicare & Medicaid Services (CMS) began making supplemental benefits more flexible more than two years ago. Now, those same providers that got into MA early are beginning to better understand the space while hunting […]