CenterWell President Sanjay Shetty: ‘It’s Time To Give Home Health Its Due’

CenterWell President Dr. Sanjay Shetty knows home health care is an extremely valuable service. Unlike many other leaders, he’s in the position to prove it. For close to a year now, Shetty has led Humana’s (NYSE: HUM) health care services division, which includes CenterWell Home Health, CenterWell Primary Care and CenterWell Pharmacy. Previously, he was […]

Trends That Are Shifting The Medicare Advantage Market

As Medicare Advantage (MA) plans continue to gain more beneficiaries, home-based care providers find themselves at a crossroads. For some, the allure of MA lies in its potential to unlock new opportunities and expand patient reach. Yet, for others, the prospect of navigating the complexities of MA reimbursement presents a daunting challenge. MA enrollment continues […]

CMS To End Hospice MA Carve-In: Insights For Home-Based Care Providers

Grand opening, grand closing. Hospice providers began to work with Medicare Advantage (MA) via the Value-Based Insurance Design (VBID) demonstration in 2021. At the end of 2024, the “hospice carve-in” model will cease. This will have an impact on home health providers who offer hospice services, obviously. But the failure of hospice’s fit within VBID […]

While Walgreens Conducts Strategic Review Of Assets, CVS Health Considers Supplemental Benefit Cuts In MA

Earlier this week, Walgreens Boots Alliance (Nasdaq: WBA) CEO Tim Wentworth teased a “strategic review” of the company’s assets, including those within the U.S. Healthcare segment. Meanwhile, CVS Health (NYSE: CVS) CFO Tom Cowhey provided updates on where Aetna may go with its supplemental benefits in the near-term future.  “We are now meaningfully looking at […]

Home Health Disparities: Medicare Advantage Patients Receive Fewer Visits, Worse Outcomes

Home health patients under Medicare Advantage (MA) plans have worse functional outcomes compared to traditional Medicare patients, likely as a result of receiving fewer visits, according to a new study. The new study is from researchers with the Department of Rehabilitation Medicine at University of Washington. “The primary message of this study is that Medicare […]

Report: MA Plans Administering At-Home Care Benefits Should Follow Medicaid Programs’ Lead

Medicare Advantage (MA) supplemental benefits have expanded and evolved over the last five or six years, but there’s a need to concretely prove their value. One way to do so would be by mirroring the regulatory model state Medicaid programs use for home- and community-based services. That’s one of the key takeaways from a report […]

Home-Focused Network Management Company Dina Raises $7 Million

Dina — a digital network management company for home- and community-based services — recently closed a $7 million funding round. The round was led by venture capital investor First Analysis, with participation from existing investors Osage Venture Partners and First Trust Capital Partners. Dina also counts SCAN Group as one of its investors. The organization […]

For Home Care Providers Still Invested In Medicare Advantage Business, Patience Is Wearing Thin

Around 2019, Medicare Advantage (MA) was all the rave among home care providers. That’s because, in 2018 and 2019, two pathways opened for MA plans to provide more benefits to beneficiaries: the primarily health-related benefit pathway and the Special Supplemental Benefits for the Chronically Ill (SSBCI) pathway. Included in those were plenty of areas of […]