Addus Eyes Strategic Acquisitions Ahead of Medicare Advantage Expansion

Coming off of a strong second quarter, Addus HomeCare Corporation (Nasdaq: ADUS) is looking at a busy pipeline for the remainder of the year, executives predicted on a Q2 earnings call Tuesday. Such acquisitions will play an increasingly important role in better positioning the Frisco, Texas-based provider for Medicare Advantage (MA) partnership development in the […]

Why Home Health Care’s Experience Casts Doubt on a Hospice MA Carve-In

The Centers for Medicare & Medicaid Services (CMS) made waves in January when it unveiled plans to test a hospice carve-in under Medicare Advantage (MA), a step long viewed as “inevitable.” Specifically, CMS officials said they would test the feasibility of a hospice carve-in starting in 2021 through the MA Value-Based Insurance Design (VBID) model. […]

New Amedisys-ClearCare Personal Care Network Spreading Like Wildfire

In an effort to expand its capabilities and open the door for future Medicare Advantage (MA) opportunities, Amedisys Inc. (Nasdaq: AMED) recently struck an agreement with ClearCare Inc. to create a network of personal care agencies. Already, that network is spreading like wildfire, with 308 agencies representing 32,000 caregivers in 39 states, Amedisys CEO and […]

6 Steps Home Care Providers Must Take to Succeed in Medicare Advantage

The recent rule changes to Medicare Advantage (MA) from Centers for Medicare & Medicaid Services have created a level of flexibility and creativity for home care participation that is nearly unchecked. For example, the final call letter for MA plan year 2020 notes that “MA organizations have broad discretion” in determining what’s called the “Special […]

OIG Calls for Additional Oversight of Home Health, Personal Care Service Providers

In a new report released Monday, the U.S. Department of Health and Human Services Office of Inspector General (OIG) highlighted dozens of its unimplemented recommendations for reducing fraud, waste and abuse throughout the Medicare and Medicaid systems. Many of the recommendations were tied to home health, hospice and personal care services, in addition to how […]

HHS Secretary: ‘We Want to Go Further’ with Medicare Advantage In-Home Benefits

Medicare Advantage plans could get even more flexibility to address social determinants of health for beneficiaries if Health and Human Services Secretary Alex Azar has his way. In turn, that could mean even more opportunities for home care providers to offer and be reimbursed for services such as companion care, bathing, transportation and more. “Our […]