Adaptive Innovations, an AI-native home health care provider, has emerged from stealth mode with $60 million in the bank, including a $50 million Series A announced on Tuesday. The Series A round was led by Felicis, with significant participation from Bain Capital Ventures, Optum Ventures, Sunflower Capital, Conviction, BoxGroup, Dorm Room Fund and Constellation, as […]
Faced with mounting reimbursement pressures, home-based care providers are rethinking their playbook, diversifying payer mixes and forging local partnerships to stay viable. Across the industry, leaders describe an environment shaped by the cumulative weight of incremental cuts, shifting policies and uneven reimbursement across payer types. To cope with these changes, providers are expanding their payer […]
Enhabit’s new CEO, Dale Clift, expects double-digit growth for the company he now heads following its acquisition by private equity firm Kinderhook Industries. Enhabit named Clift its chief executive last week, days after the Kinderhook acquisition closed. The veteran home-based care executive is now ushering Enhabit into a “chapter of growth,” planning to expand the […]
On Wednesday, the Centers for Medicare & Medicaid Services (CMS) Administrator, Dr. Mehmet Oz, announced a broader push to coordinate payers, providers, technology vendors and developers around shared standards for electronic prior authorization. He set a Jan. 1, 2027, deadline for certain CMS-regulated payers to implement electronic prior authorization interfaces. “When a health care provider […]
A bipartisan group of lawmakers has introduced a bill that would tighten oversight of Medicare Advantage plans, whose low reimbursement rates have added margin pressure for home health care providers. The bill, called the Medicare Advantage Improvement Act of 2026, would hasten prior authorizations, increase transparency, align coverage criteria with traditional Medicare and expand access […]
While the home health community has historically noted that Medicare Advantage (MA) rates have squeezed their margins, the Medicare Payment Advisory Commission (MedPAC) is examining a wider set of effects, including lower utilization per patient, increased use of prior authorization and shifting patterns of post-acute care use. In a public meeting last week, MedPAC discussed […]
On Monday, the Centers for Medicare & Medicaid Services (CMS) finalized its 2027 rate announcement for Medicare Advantage and Medicare Part D – including a substantially higher increase to Medicare Advantage payments than the agency proposed in January. CMS estimates that its finalized policies will lead to a 2.48% average increase, or $13 billion, in […]
With reimbursement pressures, rising inflation and rampant workforce shortages, efficiency has become a top priority for many home-based care providers. But efficiency initiatives carry certain risks if not executed with precision. The home-based care industry must retain a long-range view when looking to improve efficiency, according to Zac Long, CEO of Well Care Health, a […]
Two years after Enhabit investors called for a sale and the company began a strategic review, the provider has sealed a deal to be sold to private equity firm Kinderhook Industries. At $1.1 billion, the all-cash transaction equates to $13.80 a share with roughly a 10x implied multiple to estimated 2026 earnings, according to a […]
The Centers for Medicare and Medicaid Services (CMS) announced a proposed 0.09% Medicare Advantage payment increase for CY 2027 on Monday, a significant drop from the 5.06% rate hike finalized for CY 2026. The increase would represent a $700 million increase in Medicare Advantage payments in 2027, year-over-year. “These proposed payment policies are about making […]
