UnitedHealthcare Advances Home Strategy, Expects to Make 1.7M House Calls in 2020

A number of major Medicare Advantage (MA) carriers are expanding their supplemental benefit offerings shaped around in-home care next year. UnitedHealthcare, the insurance arm of UnitedHealth Group (NYSE: UNH), is among them. Overall, UnitedHealthcare partners with more than 1.3 million physicians and care professionals across the U.S., plus another 6,500 or so hospitals and other […]

Humana Accelerates Value-Based Care Strategy with Home Health Providers, Others

Humana Inc. (NYSE: HUM) continues to shift its operations toward value-based care payment models, both with internal service lines and with external provider partnerships. The Louisville, Kentucky-based insurance giant is also doubling down on social determinants of health at the same time. Those are just a couple key takeaways from a Tuesday conference call with […]

Perspectives: Home Health Insiders Sound Off on the 2020 Election

The ongoing expansion of Medicare Advantage (MA), a federal minimum-wage hike and additional support for front-line health care workers during the COVID-19 public health emergency. These are just a few of the industry-shaping topics that home health insiders are following going into Election Day this Tuesday. While each presidential election is important, 2020 will help […]

States with the Most ‘Primarily Health-Related’ Medicare Advantage Opportunities for Home Care Agencies

With hundreds of plans reportedly offering in-home support services in 2021, the coming year is certain to bring more Medicare Advantage (MA) opportunities for home care agencies. But some home care operators will have more opportunities than others due to geographic variability across the MA landscape. To find leads, agency leaders will need to understand […]

Medicare Advantage Enrollment Up 125% Among Dual-Eligible Beneficiaries

In-home care providers with a mission to serve particularly vulnerable populations often target “dual eligibles,” or individuals signed up for both Medicare and Medicaid benefits. The focus on dual-eligible populations is partly driven by mission and values, but it’s also supported by reimbursement. While in-home care providers sometimes struggle operating purely in the Medicaid long-term […]

Number of MA Plans Offering In-Home Support Services to Increase by 93% in 2021

The U.S. Centers for Medicare & Medicaid Services (CMS) last month released new Medicare Advantage (MA) figures highlighting a massive expansion of plans offering home-focused supplemental benefits in 2021. The agency shared additional data on Wednesday — and it now appears the ongoing home care MA movement is even bigger than originally anticipated. “These benefit […]

Humana’s Blueprints for Building Its ‘Home-Centric Ecosystem of Care Delivery Assets’

In 2019, Humana Inc. (NYSE: HUM) decided to reorganize its operations and create a dedicated business segment focused on the home. The Louisville, Kentucky-based health care organization has spent the past several months refining that home segment by fully mapping out its strategy and scope of services, according to its leader and president, Susan Diamond, […]

Medicare Advantage Startup Clover Health Slated to Go Public in a $3.7 Billion SPAC Deal

Clover Health recently announced that it will go public through a merger with a special purpose acquisition company (SPAC), Social Capital Hedosophia Holdings Corp. III. “Going public will enhance our ability to execute on our mission of improving every life, providing significant capital for the company to scale and improve health outcomes for seniors across […]

New CMS Data Highlights ‘Massive’ Expansion of Home Care-Related Medicare Advantage Benefits

The U.S. Centers for Medicare & Medicaid Services released a treasure trove of new Medicare Advantage (MA) statistics late Thursday. While the new numbers flag a general rise in MA enrollment and drop in premiums, they also reveal a massive expansion of the supplemental benefit programs that have gotten home care operators so excited over […]