An extensive body of research exists highlighting the differences in post-acute care utilization between fee-for-service (FFS) Medicare beneficiaries and those enrolled in Medicare Advantage (MA). Generally, that research has suggested that MA enrollees utilize post-acute care services less than their FFS counterparts, often with either better or equal health outcomes. A study published Friday in […]
Category: Medicare Advantage
The odds are stacked against home health providers. Even while more care is heading to the home, providers have three fundamental problems. The first is that there is an insufficient workforce to meet demand. The second and third are both rate-related. The Centers for Medicare & Medicaid Services (CMS) is actively reducing home health reimbursement […]
On Wednesday — ahead of its earnings call with investors and stakeholders — Enhabit Inc. (NYSE: EHAB) announced plans to launch a strategic review process. Specifically, the company is looking to take steps to satisfy the conditions of its Tax Matters Agreement with Encompass Health Corp. (NYSE: EHC). Enhabit CEO Barb Jacobsmeyer shed more light […]
Since the at-home primary care provider Patina launched, it has been busy forming partnerships with some of the largest payers in the country. The Philadelphia-based company has done so with UnitedHealth Group (NYSE: UNH), Cigna (NYSE: CI) and Aetna. As a way to provide a better experience for their Medicare Advantage (MA) patients, Humana Inc. […]
The Cigna Group (NYSE: CI) is leveraging its ubiquity to push care into the home. “Unlike many of our competitors, we directly employ hundreds of field-based infusion nurses,” Cigna Chairman and CEO David Cordani said during the company’s second-quarter earnings call Thursday. “Today, they are located within 75 miles of approximately 90% of the U.S. […]
After another poor proposed payment rule from the Centers for Medicare & Medicaid Services (CMS), home health leaders are trying to focus on the positive parts of the business they’ve chosen to be be a part of. Virtually none of those leaders believe anything positive is coming from the proposed payment rule itself, or from […]
It has become increasingly difficult for home health providers to ignore Medicare Advantage (MA) plans’ growing reach. Providers looking to thrive will need to learn to navigate this evolving reimbursement landscape. In 2023, MA plan enrollment surpassed traditional Medicare enrollment. There has been a growth of more than 10 million MA plan enrollees over the […]
The New York-based startup DUOS announced that it has secured $10 million in funding. Its latest round of funding was led by Primetime Partners, SJF Ventures and CEOC’s Aging Innovation Fund, which is managed by Castellan Group. The new funds will further drive DUOS technology investments, according to CEO Karl Ulfers. Though DUOS launched in […]
In-home care and health assessments give payers and providers the ability to better manage vulnerable populations while addressing social determinants of health (SDoH). That’s partly why UnitedHealth Group (NYSE: UNH) subsidiary Optum has invested so mightily in its home- and community-based care efforts, including its HouseCalls program, according to Optum Health Chief Nursing Officer Kristy […]
One of the biggest opportunities that home-based care providers have today is to dive deeper into patient engagement, according to SCAN Group CEO Dr. Sachin Jain. Jain, during a panel at the Home Care Innovation + Investment Conference in Chicago last week, said that while patient engagement and education is an issue with health care […]
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