Enhabit’s ‘Swing Factors’ In 2023, According To Its Leaders

After seeing a 4% decline in traditional Medicare beneficiaries in the markets the company serves, Enhabit Inc. (NYSE: EHAB) is working to build back up its home health fee-for-service business. That will start by working with referral sources and offering them a wide range of care services, according to Barb Jacobsmeyer, the president and CEO […]

Despite Hardball Tactics With Home Health Providers, MA Plans Have High Gross Margins

Insurers are reporting much higher gross margins per enrollee in the Medicare Advantage (MA) market than in other health insurance markets, according to a new Kaiser Family Foundation analysis. At the same time, many Medicare Advantage plans continue to play hardball with home health providers by rationing utilization and offering low rates. The KFF analysis […]

BCBS Exec: ‘I Need Partners Who Are Willing To Go At Risk’

Despite the high demand for it, home-based care isn’t always well managed or coordinated. Consequently, this can lead to increased costs and lower-quality outcomes for health plans. As such, health plans and other stakeholders are increasingly considering what it takes to make the home a more effective site of care. Many are finding that home […]

Amedisys CEO: We Won’t Be Working With Plans That View Us As ‘Cheap, Per Visit Provider’

Ahead of the Amedisys Inc. (Nasdaq: AMED) earnings call, the company made waves by announcing that it signed a definitive agreement to divest its personal care segment to HouseWorks on Wednesday. The divestiture will reportedly net the company $50 million. During Thursday’s earnings call, Amedisys Chairman and CEO Paul Kusserow offered more details about the […]

Why MA Penetration’s State-By-State Variance Complicates Home Health Providers’ Outlook

Everyone in the home-based care world hears that Medicare Advantage is becoming the dominant payer. But that’s not always true in certain regions, states or counties. It’s just not always clear how starkly MA is being favored over fee-for-service Medicare. Over the next five years, more than half of Medicare beneficiaries are projected to be […]

Home Health Providers Taking On More MA Business Still Operating In The Dark

With the shift to Medicare Advantage (MA) in home health care intensifying, some providers are struggling with the operational adjustments required to adapt. Even for the ones that recognize the need for that adaptation, there seems to be inherent road bumps in home health-MA relationship building. “I’m sure Medicare Advantage is full of great people,” […]