CMS Announcement May Create More Medicare Advantage Opportunities for Home Care Providers

Non-medical home care providers hoping to break into the Medicare Advantage (MA) space have been attentively watching for signs of how plans will respond to the coronavirus. While some believe the COVID-19 virus will throw a wrench into MA home care opportunities, others believe the current public health emergency will only accelerate plans pushing into […]

Newly Unveiled Medicare Advantage Data Highlights Biggest Opportunities for In-Home Care Providers

In 2019, Medicare Advantage (MA) plans were given clearance to offer extended health-related services and benefits to certain chronically ill enrollees starting in 2020. The move doubled down on a similar MA expansion announced in 2018. While the 2019 and 2018 updates were separate, they both created potential MA opportunities for in-home care providers. Providers […]

Alignment Healthcare Raises $135M; FirstLight Expands Internationally

Alignment lands $135 million in Series C Medicare Advantage (MA) startup Alignment Healthcare has deepened its pockets. The Orange, California-based MA player announced March 4 that it has raised $135 million in Series C funding, led by Fidelity Management & Research Company. Additional funding came from funds and accounts advised by T. Rowe Price Associates […]

Humana Launches Medicare Advantage SDoH Program

Finding new ways to address the social determinants of health has become somewhat of a calling card for Humana Inc. (NYSE: HUM). This time around, the company announced a new program that reimburses health systems for referring Medicare Advantage members to social services.  Louisville, Kentucky-based Humana is both a payer and in-home care provider. Its […]

WCAS General Partner: There’s a ‘Significant Unmet Need’ for Value-Based, Senior-Focused Primary Care

Earlier this month, Humana Inc. (NYSE: HUM) and Welsh, Carson, Anderson & Stowe (WCAS) teamed up on a new joint venture aimed at expanding access to value-based primary care for Medicare patients. Under the JV agreement, Humana and WCAS will commit upwards of $600 million to build 50 new Partners in Primary Care (PiPC) centers […]

FirstLight CEO Charts Course Toward Telehealth Expansion, Medicare Advantage Contracting

FirstLight Home Care recorded another year of strong growth in 2019, thanks partly to an uptick in national accounts and its work with employee-assistance programs (EAPs). The Cincinnati-based in-home care franchise company plans to double down on those areas in 2020, while also making progress on its Medicare Advantage (MA) efforts and FirstLight Health Solutions […]