Home health care providers and Medicare-for-all advocates certainly agree on their general disliking of Medicare Advantage (MA). The one problem is that these advocates are also fervently against direct contracting in traditional Medicare. And that is an area where many home-based care providers believed they could enter into new, value-based care arrangements either with the […]
Category: Medicare Advantage
With the nationwide rollout of the Home Health Value-Based Purchasing (HHVBP) Model inching closer, home health agencies are feeling confident about their ability to adapt. Not only are operators confident, but some are even excited about what HHVBP might translate to in terms of improved managed care relationships and further diversion away from skilled nursing […]
The home health industry’s battle with Medicare Advantage (MA) plans for fair rates has gone from a few stakeholders saying “the quiet part out loud” earlier this year to nearly every major provider in the country talking about the issue with regularity. My colleagues and I have covered the topic extensively. But we’ve moved beyond […]
The highly fragmented home health industry has turned providers into commodities, at least in the eyes of Medicare Advantage (MA) organizations. Because there are so many providers looking to make managed care inroads, the rates home health operators receive from MA sources are typically far below what they get from fee-for-service Medicare. That sense of […]
CVS Health (NYSE: CVS) recently floated the idea of home health acquisitions and partnerships. Mostly, it has repeatedly doubled down on the idea that it wants to get into the home. Of the driving forces of that is its own insurer, Aetna. What Aetna believes is best for its members and the health of its […]
Home-based palliative care is an untapped business opportunity for many home health and hospice providers in the U.S., but multiple factors continue to hinder near-term scalability. Data on the availability of home-based palliative care is limited, so it’s difficult to pinpoint just how large the market really is. Experts familiar with the space have previously […]
Medicare Advantage (MA) organizations have limited beneficiaries’ access to necessary care. They have also denied payments to providers for services that are covered under Medicare rules, as well as MA billing rules. That’s according to a report released Thursday by the Office of Inspector General (OIG). The report examined data over the course of one […]
Encompass Health reported a strong financial first quarter for 2022 despite continued staffing constraints in its home health business. On Wednesday, Encompass Health reported total revenue of $1.33 billion for Q1 2022, up 8.4% compared to $1.23 billion in Q1 2021. Its home health revenue checked in at $224 million, up 2.3% from $220 million […]
Humana Inc. (NYSE: HUM) has been vocal about its plan to develop its health care services capabilities in three phases. The first phase is building the capabilities. The second phase includes enhancements to align its capabilities with value-based principles, and the third is integrating these capabilities in select local markets. With the divestiture of its […]
Compared to fee-for-service Medicare, seniors save close to $2,000 on average in total annual health care spending with Medicare Advantage (MA). That’s according to a new study — based on 2019 Medicare Current Beneficiary Survey data — from Better Medicare Alliance. The study features an analysis conducted by the Washington, D.C.-based research and consulting firm […]
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