Rural Markets May Offer Huge Upside for Home Care Providers Looking to Break into Medicare Advantage

Many home care providers jumped at the chance to create new Medicare Advantage (MA) business lines after the U.S. Centers for Medicare & Medicaid Services (CMS) began making supplemental benefits more flexible more than two years ago. Now, those same providers that got into MA early are beginning to better understand the space while hunting […]

Family Resource Home Care CEO: Providers Must ‘Hold the Line’ When Negotiating with MA Plans

While some ground has been gained, home care’s campaign into Medicare Advantage (MA) territory has sometimes felt like an inch-by-inch progression rather than a full-on assault. But that shouldn’t be too surprising for those familiar with how MA plans think, according to Jeff Wiberg, the CEO of Family Resource Home Care, a large home care […]

COVID-19 Prompts Payers to Show ‘Real Appreciation’ of Home-Based Care

Like every other provider in the home-based care industry, Addus HomeCare Corporation (Nasdaq: ADUS) has spent the past three months grappling with the coronavirus. In the short term, that has meant decreased visit volumes and reduced revenues. But in the long-term, Frisco, Texas-based Addus is optimistic the COVID-19 emergency will usher in a number of […]

New CMS Medicare Advantage Rule Creates Incentives for Providers to Invest in Telehealth

The Centers for Medicare & Medicaid Services (CMS) announced Friday it has finalized changes to Medicare Advantage (MA) and Medicare Part D. The changes — detailed in a final rule for 2021 — partly seek to strengthen access to telehealth services, an increasingly important component of the health care system amid the ongoing coronavirus emergency. […]

To Tackle New Senior Care Challenges, MA Plans Lean Further into Social Determinants of Health

For years now, home care providers have drooled at the thought of contracting with Medicare Advantage (MA) plans. Now amid the coronavirus, agencies could have the chance to accelerate their MA strategies. Seniors are being forced to become more isolated than ever to mitigate their risk of catching the COVID-19 virus. In turn, MA plans […]

‘Rare Flexibility’ for Medicare Advantage Plans Could Lead to Home Care Inflection Point

The Centers for Medicare & Medicaid Services (CMS) has granted further flexibility to Medicare Advantage (MA) plans to offer more benefits to beneficiaries during the COVID-19 crisis. For home care providers, that could mean more business opportunity. The Special Supplemental Benefits for the Chronically Ill (SSBCI) program was announced in 2019 for the 2020 plan […]

Humana CMO: Coronavirus Creates ‘Transformative Moment’ for Our Home Care Business

Count Humana Inc.’s chief medical officer (NYSE: HUM) among those who think the coronavirus is accelerating the U.S. health care system’s shift toward the home.  Since the COVID-19 outbreak began to ramp up in March, the Louisville, Kentucky-based insurance giant has seen a substantial demand for all sorts of in-home care services, including telehealth-powered primary […]

CareCentrix Expands into Palliative Care with Turn-Key Health Acquisition

CareCentrix — a care management company that focuses on home-based care — announced Monday it has acquired palliative care company Turn-Key Health. The financial terms of the deal were not disclosed. Hartford, Connecticut-based CareCentrix provides post-acute care services, discharge management, durable medical equipment (DME) and home-based care services. A portfolio company of Consonance Capital Partners, […]

COVID-19 Could Increase Seniors’ Rapid Disenrollment in Medicare Advantage

There’s a lot of speculation about what the coronavirus will mean for the Medicare Advantage industry, especially as it relates to home-based care.  Some believe it could mean more MA opportunities for at-home care providers in 2021 — or even sooner, as CMS recently announced that plans can provide mid-year benefit enhancements in response to […]