Aetna Bucks Medicare Advantage Trend, Continues To Invest In Home-Based Care Benefits

Funding for fee-for-service home health care and home- and community-based services ebbs and flows. But the payer source most likely to dictate the future of home-based care providers – across the board – is Medicare Advantage (MA). MA plans aren’t immune to tough rate environments, either. In fact, they’re in one right now. That’s one […]

Enhabit Touts Improved Labor Numbers, New MA Contracts Amid Strategic Review

Amid a strategic review that could end in a merger or sale, Enhabit Inc. (NYSE: EHAB) leaders are happy with the company’s progress, specifically on the labor and clinical outcome fronts. Enhabit CEO Barb Jacobsmeyer refrained from diving into much detail on the strategic review, but did say that “discussions with interested parties are ongoing.” […]

Blue Cross Blue Shield Of Massachusetts To Eliminate Prior Authorization For Home Health Discharges

Blue Cross Blue Shield of Massachusetts is getting rid of one of the biggest pain points for home health providers: prior authorization. The change will eliminate more than 14,000 authorizations, according to the company. Broadly, patients being discharged from the hospital to home health care will not need advanced approval. The types of care that […]

Medicare Advantage Plans Pulling Back On In-Home Care Supplemental Benefits

Insurance companies selling Medicare Advantage (MA) plans have been facing increased scrutiny from members of Congress and regulators, with critics of the private version of Medicare claiming carriers are profiting far too much. In light of those sentiments and expected constraints, some believed MA plans could begin trimming their supplemental-benefits packages, which could lead to […]

Bruce Broussard, Who Helped Turn Humana Into Home-Based Care Powerhouse, To Step Down As CEO

Humana Inc. (NYSE: HUM) – one of the largest insurers and home health providers in the country – announced a leadership transition Wednesday. Longtime CEO Bruce Broussard will step down, with Jim Rechtin stepping into his position in 2024. This was a “long-planned” CEO transition, according to Humana. Rechtin will join Humana on Jan. 8, […]