The U.S. Centers for Medicare & Medicaid Services (CMS) last month released new Medicare Advantage (MA) figures highlighting a massive expansion of plans offering home-focused supplemental benefits in 2021. The agency shared additional data on Wednesday — and it now appears the ongoing home care MA movement is even bigger than originally anticipated. “These benefit […]
Category: Medicare Advantage
In 2019, Humana Inc. (NYSE: HUM) decided to reorganize its operations and create a dedicated business segment focused on the home. The Louisville, Kentucky-based health care organization has spent the past several months refining that home segment by fully mapping out its strategy and scope of services, according to its leader and president, Susan Diamond, […]
Clover Health recently announced that it will go public through a merger with a special purpose acquisition company (SPAC), Social Capital Hedosophia Holdings Corp. III. “Going public will enhance our ability to execute on our mission of improving every life, providing significant capital for the company to scale and improve health outcomes for seniors across […]
The U.S. Centers for Medicare & Medicaid Services released a treasure trove of new Medicare Advantage (MA) statistics late Thursday. While the new numbers flag a general rise in MA enrollment and drop in premiums, they also reveal a massive expansion of the supplemental benefit programs that have gotten home care operators so excited over […]
For years now, the U.S. health care system has steadily moved away from a fee-for-service environment toward value-based care. Medicare Advantage (MA) growth reflects this shift, particularly when it comes to the wide spectrum of home-based care. Currently, the average home health agency gets about 55% of its funding from fee-for-service Medicare, Medicare Payment Advisory […]
Aetna is taking another step toward the home. The managed health care company announced Tuesday that it is forming a new partnership with Landmark Health in New York to bring physician-led services into the homes of Aetna’s Medicare Advantage members. The partnership further highlights a growing desire for more in-home medical and primary care, among […]
Humana’s (NYSE: HUM) long-standing home- and community-based focus served the insurer well in Q2 2020 — a quarter dominated by the COVID-19 emergency. The coronavirus pushed more senior care into the home, boosting business for Louisville, Kentucky-based health insurance giant. As a result, the insurer doubled down on home-based care initiatives in Q2 2020 and […]
Home health admissions saw a slight decline in volume during the fourth quarter of 2019. Meanwhile, referral trends appear to be holding steady. That’s according to recent data from PlayMaker Health, a post-acute growth platform that serves hundreds of organizations across the country. Specifically, Q4 saw a 2.45% decline in home health admissions, nationally. The […]
While the Medicare Advantage (MA) home care opportunity continues to expand, cynics have been quick to criticize it. Some say the opportunity is too small to be worthwhile — and that it’s more of a trendy talking point than a viable business option for most home care providers. In 2020, only 619 of more than […]
Securing stockpiles of personal protective equipment (PPE), doubling down on company-wide training efforts and implementing educational initiatives are just some of the responsibilities that home care leadership teams have taken on during the COVID-19 crisis. While most home care agencies were navigating the public health emergency over the past few months, Synergy HomeCare’s CEO had […]