There are significant differences in home-based medical care utilization between Medicare Advantage (MA) and traditional Medicare beneficiaries. Specifically, having exactly one home-based medical care visit was 31 times as likely for MA beneficiaries, at 18.6%, compared to traditional Medicare beneficiaries at 0.6%. That’s likely, in part, due to incentives in the MA program to code […]
Category: Medicare Advantage
G. Scott Herman has been in the home health industry for a long time. But when it comes to his new venture – New Day Healthcare – he’s not running the company based on what worked in the past, or even what may work best right now. He’s trying to build a forward-looking, sustainable home-based […]
In December 2020, Encompass Health Corporation (NYSE: EHC) announced it was pursuing strategic alternatives for its home health and hospice arm. Not even three years later, the product of that strategic review – Enhabit Inc. (NYSE: EHAB) – is exploring a strategic review of its own. Encompass leaders saw an opportunity to refine their focus […]
The Senate Finance Committee’s Subcommittee on Health Care held a hearing Tuesday regarding aging in place and access to home health care in the U.S. While current struggles were highlighted throughout, the hearing was ultimately a symbolic win for home health providers across the country. Lawmakers came across as more educated on home health care […]
Consolidation in the home health market has been forecasted for years. While the number of home health agencies has declined over the last couple, greater consolidation has yet to hit the industry. But the fragmented and growing home health space could finally begin to experience it in the near-term future, likely due to declining traditional […]
The second day of Home Health Care News’ FUTURE event began with an off-the-record breakfast conversation between HHCN+ subscribers. To kick the day off, I decided to poll the room by asking, “Does anyone in here have a Medicare Advantage success story that they could share with us?” The idea was to get a personal […]
Humana Inc. (NYSE: HUM) – despite looming cuts and potential clawbacks from the Centers for Medicare & Medicaid Services (CMS) – still sees Medicare Advantage (MA) as a major growth opportunity. “What we’ve seen, and the way we’ve structured our benefits, is to really try to understand what the top benefits are, and not alter […]
Humana Inc. (NYSE: HUM) is suing the U.S. Department of Health and Human Services (HHS) due to its attempt to claw back billions of perceived overpayments from Medicare Advantage (MA) plans. The Centers for Medicare & Medicaid Services (CMS), which is a part of HHS, finalized a rule in January that would allow the agency […]
When it was first announced that the home health giant LHC Group was being acquired in March 2022, it wasn’t shocking. What was shocking, at least to some, was the buyer – UnitedHealth Group’s (NYSE: UNH) Optum. Though Humana Inc. (NYSE: HUM) had already acquired Kindred at Home, UnitedHealth Group getting into the mix was […]
Medicare Advantage (MA) plans, collectively, were one of the home health industry’s clearest opponents over the last couple of years. Now, providers are making a distinction in their criticism of MA plans. They’re not all bad. Some are even good. “I think there’s going to be a real separation between the Medicare Advantage plans,” Well […]
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