Medicare Advantage Enrollment Up 125% Among Dual-Eligible Beneficiaries

In-home care providers with a mission to serve particularly vulnerable populations often target “dual eligibles,” or individuals signed up for both Medicare and Medicaid benefits. The focus on dual-eligible populations is partly driven by mission and values, but it’s also supported by reimbursement. While in-home care providers sometimes struggle operating purely in the Medicaid long-term […]

Number of MA Plans Offering In-Home Support Services to Increase by 93% in 2021

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 […]

Humana’s Blueprints for Building Its ‘Home-Centric Ecosystem of Care Delivery Assets’

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, […]

Medicare Advantage Startup Clover Health Slated to Go Public in a $3.7 Billion SPAC Deal

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 […]

New CMS Data Highlights ‘Massive’ Expansion of Home Care-Related Medicare Advantage Benefits

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 […]

As In-Home Care Providers Embrace Medicare Advantage, They’ll Need to Better Manage Vulnerable Populations

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 Doubles Down on In-Home Physician Care, Partners with Landmark Health

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 Bruce Broussard: Consumer Demand for Home-Based Care Models Will Continue to Increase

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 Down 2.45%; MA Enrollment Up 4%

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 […]