Amedisys Exec: Payers’ Interest In Home-Based Care ‘Higher Than Ever’ — But Misconceptions Remain

For years, many in the health care industry considered non-medical home care the black sheep of the family, if part of the bloodline at all.  The important intervention proven to help keep seniors out of the hospital and cut health care costs was often written off as a luxury service — and even labeled “non-skilled,” […]

NAHC’s Dombi: CMS Needs to ‘Back Off’ RAP Proposal, PDGM Assumptions

The looming Patient-Driven Groupings Model (PDGM), a potential hospice carve-in under Medicare Advantage (MA) and the expanding Review Choice Demonstration (RCD) are just a few of the developments reshaping the current landscape of home health and hospice.  As if those three items aren’t enough, providers are also facing the continuing Value-Based Purchasing Model (VBPM), emerging […]

Traditional Medicare May Trump Medicare Advantage in Reducing Readmissions

Despite previously reported findings, traditional Medicare may have a better track record of lowering hospital-readmission risk compared to the Medicare Advantage (MA) program. While the re-hospitalization difference appears to be small, it’s an important observation for home health providers, especially those that work closely with MA plans. New insights into re-hospitalization rates in Medicare and […]

Lyft Gets Medicaid Certification in Quest to Address Social Determinants of Health

Medicaid beneficiaries in one state can now use Lyft (Nasdaq: LYFT) as a covered transportation option to get to and from medical appointments.  The San Francisco-based ride-hailing company announced Wednesday that it has become a certified Medicaid provider in Arizona, where it aims to help address social determinants of health by reducing missed doctor’s visits […]

Aetna Working with CareLinx to Provide In-Home Services to Members

So far, health plans have been relatively tight-lipped about their strategies for offering in-home services and supports to members under expanded Medicare Advantage (MA) policies. They now appear to be finding their voice. On Wednesday, Aetna Medicare publicly announced for the first time it has teamed up with CareLinx and its nationwide network of more […]

Uber Health Exec: ‘There’s So Much We Can Do When It Comes to Home Care’

As Medicare Advantage (MA) plans prepare to expand their supplemental benefits in 2020 to cover even more non-medical services, players from a growing number of industries are hopping on board. That includes ride-hailing companies such as Lyft (Nasdaq: LYFT) and Uber (NYSE: UBER), which say seniors are a driving force in their health care businesses. […]

Home Care Providers in These States May Be Best Positioned for Medicare Advantage

Medicare Advantage (MA) enrollment is expected to skyrocket in coming years, with more than one-third of Medicare beneficiaries currently signed up. But the pace of the great MA migration may be slower than originally anticipated — and vastly different across state lines. For home care providers, this means there could be fewer older adults with […]

Solving the Health Care Puzzle at Home: One on One with Humana’s CMO

Humana Inc. (NYSE: HUM) is trying to solve the U.S. health care puzzle by piecing together everything from non-medical home care focused on social determinants of health to palliative care designed to improve members’ end-of-life comfort. Communication, culture and data will be the glue holding those pieces together, according to Dr. William Shrank, Humana’s new […]