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 […]

Why Home Care Can Still Define Medicare Advantage in 2020

In November, the Better Medicare Alliance and actuarial consulting firm Milliman dropped their latest report detailing how Medicare Advantage (MA) plans were acting on the expanded supplemental benefits rules federal policymakers established over the past couple of years. Home care executives devoured the report, but came away feeling somewhat discouraged by an apparent lack of […]

‘Sick-Care Silos,’ Medicare Advantage and Market Exits: Home Care CEOs Look Ahead to 2020

Once considered an afterthought, non-medical, in-home care took on newfound importance in 2019. Many home care CEOs predict that momentum will continue in 2020, especially as risk-based arrangements among providers become more common. Medicare Advantage and outcomes-related health data are also positioned to play leading roles in home care next year, industry leaders believe. The […]