Why Medicare Advantage Enrollees Switch To Traditional Medicare

Home-based care is increasingly delivered under Medicare Advantage (MA) plans, often squeezing providers with thin margins. Despite MA’s growing market share, a “substantial” number of consumers are opting to switch back to traditional Medicare, according to new research. More than 35.7 million Americans are currently enrolled in MA plans. However, one in ten switch to […]

‘We Can’t Sustain the Losses’: Nonprofit Home Health Providers Strategize To Survive Rise Of Medicare Advantage

As Medicare Advantage (MA) continues its rapid rise, nonprofit home health care companies are grappling with unsustainable reimbursement rates, with some forced to walk away from specific care plans. Nonprofit home-based care providers are increasingly struggling to absorb the financial losses associated with Medicare Advantage (MA) plans, which now cover the majority of Medicare beneficiaries […]

How Home-Based Care Providers Navigate Complex ALS Patient Care Landscape 

In-home care can be the most preferred option for patients with progressive diseases such as amyotrophic lateral sclerosis (ALS) – but significant costs associated with treatment and funding issues can be barriers to caring for these patients. Home health providers can provide critical in-home services for this patient population while protecting their bottom line, however, […]

Big Players, Local Dynamics: What Addus, Modivcare Results Reveal About Personal Home Care

Among the storylines to emerge during Q1 2025 earnings calls, I was particularly interested in the divergent results that Addus HomeCare (Nasdaq: ADUS) and Modivcare (Nasdaq: MODV) posted in their personal care segments. While Addus reported a 20.3% year-over-year increase in net service revenue, which leadership directly attributed to its personal care services, Modivcare reported […]

Medicare Home Health Use High Among Dementia Patients — But Falling

As rates of institutionalization have decreased, a growing majority of patients with dementia choose to live and receive care at home, according to a new study. Rates of home health care use among people with Alzheimer’s disease and other dementias are higher than those without, according to the study, published today in JAMA Network Open. […]

‘Stay Tuned’: New CMS Innovation Strategy Centers At-Home Care, Raises Concerns Over Increased Provider Risks

The Center for Medicare and Medicaid Innovation (CMMI) announced its new strategy in response to United States Secretary of Health and Human Services Robert F. Kennedy Jr.’s call to “Make America Healthy Again” on Tuesday. The announcement was light on details but appears favorable in terms of prioritizing more at-home care. However, federal officials also […]

HomeCentris Healthcare Acquires Family First Healthcare; Scan Group Takes Full Ownership Of myPlace Health

Leading home-based care providers announced new partnerships and strategic expansions this month in an effort to efficiently and cost-effectively provide care for the growing aging population in the U.S. HomeCentris Healthcare acquires Family First Healthcare HomeCentris Healthcare has acquired Family First Home Healthcare. The deal closed on April 3, and HomeCentris has begun integrating the […]

Home-Based Providers Report Early Success With GUIDE Model

In what has been considered the most significant shift in recent Medicare policy, the Centers for Medicare & Medicaid Services (CMS) launched the Guiding an Improved Dementia Experience (GUIDE) Model last year. Home-based care companies are enthusiastically embracing the GUIDE Model, often teaming up with vendors to do so. Care providers already report benefits, including […]

The ‘Dusty Binder’ Doesn’t Cut It: What Providers Need To Know About Navigating The Survey Process

When it comes to unexpected surveys from federal and state regulators, a home health agency’s lack of preparedness can severely undercut the business. To cope with surprise surveys, providers should have comprehensive preparation protocols in place, industry experts told Home Health Care News, including a designated survey response representative, meticulously maintained documentation and ongoing quality […]

ACO REACH Falls Short In Serving Vulnerable Populations Compared To Medicare Overall

The Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) program is designed to provide value-based care access, including home-based care, to underserved communities. New research shows that in its inaugural year, the program fell short of its aims. REACH beneficiaries have lower levels of social risk compared to the overall Medicare population, […]