Home Care Providers in These States May Be Best Positioned for Medicare Advantage

Medicare Advantage (MA) enrollment is expected to skyrocket in coming years, with more than one-third of Medicare beneficiaries currently signed up. But the pace of the great MA migration may be slower than originally anticipated — and vastly different across state lines. For home care providers, this means there could be fewer older adults with […]

Solving the Health Care Puzzle at Home: One on One with Humana’s CMO

Humana Inc. (NYSE: HUM) is trying to solve the U.S. health care puzzle by piecing together everything from non-medical home care focused on social determinants of health to palliative care designed to improve members’ end-of-life comfort. Communication, culture and data will be the glue holding those pieces together, according to Dr. William Shrank, Humana’s new […]

HHCN Research: Personal Care Services Projected to Dominate Home Care’s 2020 Medicare Advantage Involvement

The Medicare Advantage (MA) expansions that the Centers for Medicare & Medicaid Services (CMS) announced this year and in early 2018 open the door to creative applications of non-medical home care services designed to proactively improve individuals’ health. The pair of new rules, with the broader of the two taking effect in 2020, have led […]

HHCN Research: 90% of Home Care Providers Anticipate Medicare Advantage Business in 2020

When the Centers for Medicare & Medicaid Services (CMS) announced it would allow Medicare Advantage (MA) plans to cover certain non-medical home care services in 2019, interest was tepid, with only 3% of plans actually covering those benefits. So it is no surprise that a subsequent expansion for 2020 brought questions about just how much […]

Dual-Eligible Medicare Advantage Beneficiaries Have Greatest Social Determinants of Health Needs

Addressing social determinants of health is especially important for Medicare Advantage (MA) beneficiaries, as they are increasingly affected by a lack of services targeting those needs, which include access to and quality of housing, food and transportation, among other socio-economic factors. That’s according to a recent report from Avalere Health, a Washington, D.C.-based health care […]