In 2019, Medicare Advantage (MA) plans were given clearance to offer extended health-related services and benefits to certain chronically ill enrollees starting in 2020. The move doubled down on a similar MA expansion announced in 2018. While the 2019 and 2018 updates were separate, they both created potential MA opportunities for in-home care providers. Providers […]
Alignment lands $135 million in Series C Medicare Advantage (MA) startup Alignment Healthcare has deepened its pockets. The Orange, California-based MA player announced March 4 that it has raised $135 million in Series C funding, led by Fidelity Management & Research Company. Additional funding came from funds and accounts advised by T. Rowe Price Associates […]
Denver-based Homewatch CareGivers is already one of the biggest franchise brands in home care. But it still wants to be bigger. Overall, the PE-backed Homewatch CareGivers added 17 locations in 2019, and it plans to add at least 22 more this year. It currently has over 200 locations spread across the U.S. Its parent company, […]
Finding new ways to address the social determinants of health has become somewhat of a calling card for Humana Inc. (NYSE: HUM). This time around, the company announced a new program that reimburses health systems for referring Medicare Advantage members to social services. Louisville, Kentucky-based Humana is both a payer and in-home care provider. Its […]
Earlier this month, Humana Inc. (NYSE: HUM) and Welsh, Carson, Anderson & Stowe (WCAS) teamed up on a new joint venture aimed at expanding access to value-based primary care for Medicare patients. Under the JV agreement, Humana and WCAS will commit upwards of $600 million to build 50 new Partners in Primary Care (PiPC) centers […]
For many in-home care providers, new payment models such as the Patient-Driven Groupings Model (PDGM) serve as the impetus for technology adoption in 2020. The expanding reimbursement stream of Medicare Advantage is also a major driver. These are some of the key findings from the 2020 Home Health Care News Outlook Survey and Report, released […]
By Kevin Murphy, executive vice president of complex care for Clover Health House calls aren’t just a relic from the 1930s when the local doctor would show up by the bedside to address whatever ailments befell the patient. Today, with close to 2 million seniors completely or mostly homebound in the United States, there has […]
FirstLight Home Care recorded another year of strong growth in 2019, thanks partly to an uptick in national accounts and its work with employee-assistance programs (EAPs). The Cincinnati-based in-home care franchise company plans to double down on those areas in 2020, while also making progress on its Medicare Advantage (MA) efforts and FirstLight Health Solutions […]
Grandkids-on-demand startup Papa Inc. announced last week that it has paired with Priority Health to begin offering services to the Michigan health plan’s Medicare Advantage members. The move — along with a rework of Papa’s brand — are good indications of the ambitions that the company has in 2020. Only two years old, Papa is […]
It’s safe to say that 2019 was a banner year for Amedisys Inc. (Nasdaq: AMED). The Baton Rouge, Louisiana-based company doubled down on hospice — announcing a number of deals. On the personal care side, Amedisys entered into and saw success in an innovative partnership with ClearCare Inc. Over the past few years, Amedisys has […]