No shockers here: The Patient-Driven Groupings Model (PDGM) was the big story in 2019. The most widely read Home Health Care News story from the past year was a PDGM-focused conversation between the leaders of Amedisys Inc. (Nasdaq: AMED), LHC Group Inc. (Nasdaq: LHCG) and Encompass Health’s (NYSE: EHC) home health division. Now just days […]
Insurance giant Humana Inc. (NYSE: HUM) and health technology company Royal Philips (NYSE: PHG) have teamed up to give Humana’s Medicare Advantage (MA) members 24/7 access to care via remote patient monitoring. The move reflects the continued adoption of remote patient monitoring and telehealth, especially when it comes to the MA landscape. “Payers are increasingly […]
Clover Health — similar to many other Medicare Advantage (MA) players — has its sights firmly set on the home. But unlike its larger and older MA peers, the relatively smaller and newer Clover isn’t held back by certain structural constraints. That ability to build a home-focused model from the ground up is a big […]
Private health insurance spending grew by $101.3 billion between 2016 and 2018. Virtually none of that growth was tied to home health care services, however. The insights into private health insurance spending over the past few years come from a recent economic analysis put together by the Partnership to Fight Chronic Disease (PFCD), a Washington, […]
LHC Group hires chief information officer LHC Group (Nasdaq: LHCG) has a new IT chief. Earlier this month, the Lafayette, Louisiana-based LHC Group announced that former health insurance veteran Mohammad Ali will join the company as its chief information officer. Ali’s tenure as CIO will officially begin Dec. 2. In his role as CIO, Ali […]
The Home Care Association of America (HCAOA) is undergoing a leadership shakeup. The Washington, D.C.-based trade group announced Tuesday that long-time home care leader Vicki Hoak is taking over as executive director. Hoak takes over the role previously filled by Phil Bongiorno. Moving forward, Hoak will be tasked with helping U.S. home care providers navigate […]
U.S. home care providers have likely seen the news: 12% of Medicare Advantage (MA) plans will offer some sort of expanded supplemental benefits in 2020. But while some agencies are enthusiastic about the expansion and preparing for a competitive MA landgrab next year, others are saying “not so fast.” At least 364 MA plans will […]
When Aetna, a CVS Health company (NYSE: CVS), announced 2020 Medicare Advantage (MA) offerings, the company set out to go beyond simply offering its members a list of benefits. Instead, the company wanted to take a more holistic approach to health, stressing that individuals’ social and personal needs play key roles in keeping them healthy. […]
Don’t count Humana Inc. (NYSE: HUM) among those worried about the major home health reimbursement overhaul coming up in 2020. While some shun the forthcoming payment changes, Humana is actually excited about them, according to CEO and President Bruce Broussard. In addition to being one of the country’s largest health insurance organizations and a dominant […]
The Medicare Advantage boom for home care is almost here. Ever since the Centers for Medicare & Medicaid Services (CMS) first expanded the scope of Medicare Advantage (MA) supplemental benefits in April 2018, at-home care providers have been trying to figure out they fit into a potentially new reimbursement puzzle. At least initially, it appeared […]