Access to transportation remains a challenge for many older Americans, whether that means getting to an important medical appointment, going grocery shopping or meeting a few friends for coffee. It’s a point several home care providers are actively tackling through ride-hailing partnerships, especially as potential hospital and health system referral sources prioritize social determinants of […]
Sometimes a name doesn’t tell the full story. That’s the case for Arlington, Virginia-based Meals on Wheels, a meal-delivery service that does more than its name suggests. “In addition to a whole array of nutrition services, [Meals on Wheels] programs are doing in-home assessments,” Lucy Theilheimer, chief strategy and impact officer at Meals on Wheels, […]
Coming off of a strong second quarter, Addus HomeCare Corporation (Nasdaq: ADUS) is looking at a busy pipeline for the remainder of the year, executives predicted on a Q2 earnings call Tuesday. Such acquisitions will play an increasingly important role in better positioning the Frisco, Texas-based provider for Medicare Advantage (MA) partnership development in the […]
The Centers for Medicare & Medicaid Services (CMS) made waves in January when it unveiled plans to test a hospice carve-in under Medicare Advantage (MA), a step long viewed as “inevitable.” Specifically, CMS officials said they would test the feasibility of a hospice carve-in starting in 2021 through the MA Value-Based Insurance Design (VBID) model. […]
In an effort to expand its capabilities and open the door for future Medicare Advantage (MA) opportunities, Amedisys Inc. (Nasdaq: AMED) recently struck an agreement with ClearCare Inc. to create a network of personal care agencies. Already, that network is spreading like wildfire, with 308 agencies representing 32,000 caregivers in 39 states, Amedisys CEO and […]
The new Medicare Advantage opportunity for home care providers will break out in 2020 and boom in 2021. But while providers are already building the infrastructure and the partnerships necessary to capitalize on this enormous play, three major red flags remain. For Medicare Advantage (MA) to fully benefit from the power of home care, these […]
There has been a sharp rise in the number of Medicare Advantage (MA) enrollees over the past several years and a steady expansion of the program itself. But MA still isn’t the most reliable payment stream for post-acute providers, especially those who operate in the in-home care space, industry experts warn. In total, more than […]
Humana Inc. (NYSE: HUM) is seeing Medicare Advantage (MA) growth like never before, a point that contributed to its strong second quarter performance. The home-focused health insurance giant only expects membership to continue to boom in the months to come, executives predicted on a Q2 earnings call Wednesday. In Q2, Humana’s group MA membership was […]
The recent rule changes to Medicare Advantage (MA) from Centers for Medicare & Medicaid Services have created a level of flexibility and creativity for home care participation that is nearly unchecked. For example, the final call letter for MA plan year 2020 notes that “MA organizations have broad discretion” in determining what’s called the “Special […]
Humana (NYSE: HUM) is leaning even further into the home and its focus on social determinants of health, according to CEO Bruce Broussard. He hinted that the Louisville-based insurer could be placing even more importance on home- and community-based care in the years to come. “[With home-based care,] you have this holistic view of the […]
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