Not So Fast: Right at Home, Homewatch CareGivers Temper 2020 Medicare Advantage Expectations

U.S. home care providers have likely seen the news: 12% of Medicare Advantage (MA) plans will offer some sort of expanded supplemental benefits in 2020. But while some agencies are enthusiastic about the expansion and preparing for a competitive MA landgrab next year, others are saying “not so fast.” At least 364 MA plans will […]

Aetna Medicare CMO: Home-Based Care Now Critical Part of Health Care Ecosystem

When Aetna, a CVS Health company (NYSE: CVS), announced 2020 Medicare Advantage (MA) offerings, the company set out to go beyond simply offering its members a list of benefits. Instead, the company wanted to take a more holistic approach to health, stressing that individuals’ social and personal needs play key roles in keeping them healthy.  […]

Humana CEO Broussard: We’re Very Excited About PDGM

Don’t count Humana Inc. (NYSE: HUM) among those worried about the major home health reimbursement overhaul coming up in 2020. While some shun the forthcoming payment changes, Humana is actually excited about them, according to CEO and President Bruce Broussard. In addition to being one of the country’s largest health insurance organizations and a dominant […]

12% of Medicare Advantage Plans Will Offer Expanded Supplemental Benefits in 2020

The Medicare Advantage boom for home care is almost here. Ever since the Centers for Medicare & Medicaid Services (CMS) first expanded the scope of Medicare Advantage (MA) supplemental benefits in April 2018, at-home care providers have been trying to figure out they fit into a potentially new reimbursement puzzle. At least initially, it appeared […]

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, […]