VitalCaring, the new home health company helmed by April Anthony, is in its early stages. But the company knows where it wants to go. Anthony and VitalCaring President Luke James made that clear in my conversation with them last month. I first detailed that conversation in a story last week. But I only really covered […]
Category: Medicare Advantage
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 […]
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 […]
Before Scott Powers was at the helm of Elara Caring, he worked in the payer space, specifically with Medicare Advantage (MA) plans. Now, the home health industry is at an inflection point when it comes to working with those plans, which are becoming a larger part of providers’ business by the day. In order to […]
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 […]
UnitedHealth Group (NYSE: UNH) – and its subsidiary Optum – completed the $5.4 billion acquisition of LHC Group on Wednesday. Now, the real work starts. We had to wait nearly a year for the deal to close, and we’ll have to wait longer to see the companies’ desired strategy come to fruition. But we can […]
David Grabowski wears many hats. In addition to being a member of the Medicare Payment Advisory Commission (MedPAC), he is also a professor of health care policy at Harvard Medical School. Over the years, these positions have allowed him to emerge as an expert in the long-term care and post-acute care spaces. As such, Grabowski […]
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 […]
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 […]
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,” […]