More than ever, Medicare Advantage (MA) plans are stepping up and responding to the demand for more access to care in the home setting. This, in turn, has created an avenue for home-based care providers to lean into new opportunities. Over the past couple of years, the amount of MA plans offering care services in […]
Category: Medicare Advantage
Retail and technology giant Amazon (Nasdaq: AMZN) last month announced plans to acquire primary care innovator One Medical for an astounding $3.9 billion. The transaction doesn’t immediately affect senior-focused in-home care providers, but it’s another major stepping stone on the path toward disrupting the current U.S. health care system. What’s more, the deal reflects the […]
The difficulties in relationships between Medicare Advantage (MA) plans and the home health care industry have only taken a temporary backseat due to the U.S. Centers for Medicare & Medicaid Services (CMS) proposed rule for the sector. But nonetheless, it’s still something most providers are willing to – and wanting to – talk about. And […]
Along with achieving better health outcomes, Medicare Advantage (MA) checks in at annual consumer savings of roughly $2,000. That’s according to a new report from the research and advocacy organization Better Medicare Alliance (BMA). This news, as well as other findings from BMA, come at a time when more home-based care providers are being vocal […]
CVS Health (NYSE: CVS) is one of the most influential health care entities in the United States. It having the health insurance giant Aetna underneath its umbrella is no small part of that. As some of the larger retailers in the U.S. have gotten further into home-based care – including Walgreens Boots Alliance (Nasdaq: WBA), […]
The relationships between Medicare Advantage (MA) plans and home health care agencies have not changed much over the last few years. They are often filled with bitterness and lack communication. What has changed is how vocal home health providers have been about the issue. Providers went from shying away from the topic, to discussing it […]
House lawmakers are pushing for more oversight of Medicare Advantage (MA) plans in light of concerns over higher spending, improper claim denials and access to treatment. A number of lawmakers on the House Energy and Commerce Committee’s oversight subcommittee examined the issue during a hearing that centered around the MA program on Tuesday. “I am […]
As home-based care providers struggle to gather quality and reliable data across their platforms, Signify Health (NYSE: SGFY) feels like it is positioned to keep growing because of the data-driven insights it does have. These data points should not only help Signify grow, but will improve outcomes for its patients, Steve Senneff, Signify’s president and […]
Shifting health care payer trends have home-based care providers stuck between two battling business decisions: “adapt or die,” or sustainability. Those two decisions may look like one in the same to outsiders, but for home care operators grappling with whether to engage with Medicare Advantage (MA), they sometimes posit providers on different sides of the […]
Home health and personal care services provider Amedisys Inc. (Nasdaq: AMED) is experimenting with a new model that better fits the Medicare Advantage-heavy environment of today. The Baton Rouge, Louisiana-based Amedisys has started to pilot a new model that takes into account the case rate on a per admission basis, which will hopefully drive down […]