Nearing $1B in Revenue, Alignment Eyes Home- and Community-Based Care Partners

Newfound Medicare Advantage (MA) flexibilities have encouraged many of the big U.S. insurers to pursue tighter relationships with home- and community-based care providers for the 2020 plan year. But up-and-coming MA players are doing the same, including the still large but slightly lesser-known senior-focused health services company Alignment Healthcare. Alignment revealed several new socially conscious, […]

Top Roadblocks Impeding Home Care Providers’ Ability to Coordinate Services

As the health care system continues to move toward a value-based model, at-home care providers are eager to show their worth. Many hope to do that in part by coordinating with clinical and community partners to deliver holistic care and improved patient outcomes. But despite those ambitions, care coordination is easier said than done. “Projects […]

Medicare Advantage Startup Devoted Health Teams Up with Apple

Medicare Advantage startup Devoted Health has begun offering its members Apple Watch coverage, CNBC reported earlier this week. The move could set up interesting technology opportunities with future home care partners down the road. While home care partnerships aren’t explicitly part of this news for Devoted Health, many MA plans have begun forming such inroads […]

Papa Exploring Medicaid, Employee Benefit Opportunities Following $10M Funding Round

Grandkids-on-demand startup Papa has raised $10 million in Series A funding, pushing the Miami-based company’s total funding raised above $13 million. The recent investment round was led by Silicon Valley-area venture capital firm Canaan, with money also coming in from Sound Ventures, Y Combinator and Pivotal Ventures, a firm created by Melinda Gates. Past big-name […]

New Trump Order Seeks Rate Equality Between Advantage Plans, Fee-for-Service Medicare

President Donald Trump signed a new executive order Thursday designed to bolster and expand Medicare Advantage (MA), the private Medicare insurance program for seniors that currently covers roughly 22 million individuals. While the executive order is relatively wide-ranging in scope, one major detail should immediately win the attention of home health providers. In the order, […]

Anthem Doubles Down on Home Care, Whole-Person Health for 2020

Anthem Inc. (NYSE: ANTM) and a number of its affiliated health plans were among the relatively few Medicare Advantage (MA) entities to actually offer home care-related supplemental benefits for the 2019 plan year. The Indianapolis-based Anthem was one of the first major insurers to publicly promote that fact as well, highlighting its expanded benefits packages […]

Home- and Community-Based Care Takes Center Stage in 2020 Medicare Advantage Plan Designs

From national plans such as Humana and Cigna to smaller regional ones like SCAN Health Plan, a large number of Medicare Advantage (MA) plans are set to expand their home- and community-based supplemental benefit offerings in 2020. While details remain somewhat sparse, plans officially began announcing their 2020 offerings Monday, ahead of the upcoming annual […]

Hospital-at-Home Models, Home Health Partners Primed to Disrupt US Health Care System

With a shared goal of shifting more care into the home and improving patient health outcomes at a lower overall cost, hospital-at-home programs and at-home care providers are natural allies. But there are a number of hurdles that stand in the way of partnership opportunities truly taking off. Broadly, hospital-at-home programs attempt to provide acute, […]

LHC Group CEO: Biggest Innovation We Need Is Payment Innovation

When it comes to technology, there’s no shortage of gadgets and gizmos promising to innovate home-based care. In fact, during trade shows, all of the different technology being highlighted can sometimes feel a little like a scene from a science-fiction show. “I think we have seen the future of technology — we just haven’t started […]