WCAS General Partner: There’s a ‘Significant Unmet Need’ for Value-Based, Senior-Focused Primary Care

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 […]

FirstLight CEO Charts Course Toward Telehealth Expansion, Medicare Advantage Contracting

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 […]

Why Home Care Can Still Define Medicare Advantage in 2020

In November, the Better Medicare Alliance and actuarial consulting firm Milliman dropped their latest report detailing how Medicare Advantage (MA) plans were acting on the expanded supplemental benefits rules federal policymakers established over the past couple of years. Home care executives devoured the report, but came away feeling somewhat discouraged by an apparent lack of […]

‘Sick-Care Silos,’ Medicare Advantage and Market Exits: Home Care CEOs Look Ahead to 2020

Once considered an afterthought, non-medical, in-home care took on newfound importance in 2019. Many home care CEOs predict that momentum will continue in 2020, especially as risk-based arrangements among providers become more common. Medicare Advantage and outcomes-related health data are also positioned to play leading roles in home care next year, industry leaders believe. The […]

The Big New Sheriffs in Town: 2019 in Home Care Leaders’ Own Words

While the home care industry wasn’t encumbered by a major regulatory overhaul, such as the Patient-Driven Groupings Model (PDGM), several themes and key topics emerged in a way that defined 2019. Federal policymakers expanding home care coverage under Medicare Advantage (MA), for example, made waves throughout the year. Additionally, the ongoing caregiver shortage remained top […]

Lack of Funding Causing Low In-Home Care Benefit Adoption Among Medicare Advantage Plans

Despite a rise in the number of Medicare Advantage (MA) enrollees over the past several years, the percentage of MA plans offering supplemental benefits, including home care services, is on its way down. That’s according to a recent study conducted by Duke University’s Margolis Center for Policy Health. Overall, there were 22 million Medicare beneficiaries […]