Addus Generates $518M in 2018 Revenue, Begins Serving Medicare Advantage Partners

Despite wage pressures and referral setbacks, Addus HomeCare Corporation (Nasdaq: ADUS) had a markedly consistent fourth quarter and 2018 performance. With ample dry powder, the Frisco, Texas-based home health, hospice and personal care provider is well-positioned to deploy additional capital toward M&A, while simultaneously refining its relationships with Medicare Advantage (MA) partners. Addus is primed […]

New Value-Based Agreement with AmeriHealth Caritas Is Bayada’s Largest Yet

Over the past few years, Bayada Home Health Care has entered into several value-based agreements with managed care organization partners, reflective of the U.S. health care system’s broader shift from quantity to quality. The Moorestown, New Jersey-based home health provider announced its latest on Thursday: a new value-based agreement with AmeriHealth Caritas built on reducing […]

FirstLight CEO Jeff Bevis: Competing in the Medicare Advantage Arena

Cincinnati-based FirstLight Home Care is one of the largest and fastest growing home care franchise networks in the country. Despite sustained levels of past success, FirstLight — like the home care industry itself — has had to evolve in the face of emerging challenges and opportunities. For FirstLight, that means guiding its franchise locations through […]

CMS Proposes Rules to Improve Data Sharing Between Health Care Providers, Insurers

The Centers for Medicare & Medicaid Services (CMS) is taking further steps to cure lack of interoperability within the health care system, an issue that has long plagued the home health industry. On Monday, CMS released proposed rules that require many providers and insurers to adopt a secure, standard format for electronic patient data by […]

Kindred at Home Integration More Costly than Humana Anticipated

Humana Inc. (NYSE: HUM) recorded better-than-expected revenue in the fourth quarter of 2018, despite higher-than-anticipated costs associated with Kindred at Home’s operations. The Louisville, Kentucky-based health insurer’s GAAP consolidated revenues for Q4 came in at $14.17 billion, an increase of about $979 million from the same period a year ago. Annual revenue for Humana’s fiscal […]

Why Elara Caring Sees Behavioral Health as a New Frontier in 2019

Managing chronically ill patient populations across years and becoming a go-to resource for behavioral health needs are among Elara Caring’s biggest priorities over the next several months. Industry consolidation and increasing partnerships with large-scale payers and health systems will also be on the Addison, Texas-based provider’s radar, CEO G. Scott Herman told Home Health Care […]

CMS Outlines Further Expansion of Medicare Advantage Benefits for In-Home Services, the Chronically Ill

The Centers for Medicare & Medicaid Services (CMS) is proposing to further expand Medicare Advantage (MA) flexibilities for certain in-home services and supports for chronically ill Americans starting in 2020, the agency announced Wednesday. The move is in line with CMS’ larger goals of broadening the scope of the MA program, which has quickly grown […]

Home Health Agencies Sue Texas Over Reimbursement Halt

A group of home health agencies is suing the Texas Health and Human Service Commission (HHSC) for allegedly halting reimbursements for telemonitoring services. The agencies claim they will go out of business and deprive Texans of necessary care if the court doesn’t step in. Unidos Healthcare LLC; Corazon Health Care Services LLC; Cleveland Health Care […]

‘Drive to Home,’ Medicare Changes Are Creating More Integrated Senior Care

In years to come, cross-continuum collaboration and the formation of integrated care delivery models that keep people away from hospitals will be the main catalysts for lowering U.S. health care spending. For senior housing, assisted living and independent living providers, in particular, that makes establishing relationships with home- and community-based partners all the more important. […]