Money, Data and Backup Plans: Why In-Home Medicare Advantage Benefits Are Rolling Out Slowly

Despite Medicare Advantage (MA) plans being recently allowed to cover a wide variety of in-home services and supports, insurers have been slow to roll out new supplemental benefits. In 2019, only 3% of Medicare Advantage plans offered in-home care services, according to AARP. Some think the tides will turn in 2020 — but even then, […]

[Updated] Guardian Healthcare Resolves Improper Billing Allegations; Home Health Recruiter Found Guilty in Medicaid Kickback Scheme

Guardian Healthcare resolves allegations Boston-based Guardian Healthcare has entered into a financial settlement with MassHealth, the Massachusetts Medicaid program, according to Law360.  The home-based care provider — which offers home health and home care services — agreed to pay $1.95 million to resolve allegations that it submitted Medicaid claims without physician authorization that the services were […]

Better Medicare Alliance CEO: Integrating Home Care into Medicare Advantage Easier Said Than Done

For more than a year now, home care has taken center stage in the discussion surrounding Medicare Advantage (MA). Things were no different at last month’s MA Summit, hosted by the Better Medicare Alliance (BMA) in Washington, D.C. There, health care leaders from a variety of sectors and legislators from both sides of the aisle […]

Bernie Sanders: Home-Based Care Should be Guaranteed Right

So far, aging in place has mostly taken a backseat during 2019’s Democratic presidential debates and conversations surrounding Medicare-for-All models. That may be changing — and fast. On Thursday afternoon, presidential hopeful Bernie Sanders sent a message to his more than 8.5 million followers on Twitter: “No senior should have to sell their belongings or […]

Home-Based Kidney Care Company Provides Framework for In-Home Renal Treatment

A value-based kidney care company is showing what’s possible when it comes to renal treatment in the home — potentially providing a framework for home-based care providers if a variety of newly proposed payment models come to fruition. Since getting started about three-and-a-half years ago, Vienna, Virginia-based Somatus Inc. has served 3,000 patients, doing more […]

Medicare Expansion Would Have Limited Impact on Home Health Providers

More than half of large employers in the U.S. are in favor of expanding Medicare to Americans under 65 — a change that, if implemented, could give government-reimbursed home-based care providers access to more patients. That’s according to a study from the National Business Group on Health, first covered in Forbes. The survey included responses […]

Care Advantage Continues to Scale by Acquisition; BrightStar Eyes New Markets

Care Advantage acquires Allegiance Home Care Care Advantage Inc. has acquired Allegiance Home Care, marking the 51-year-old home health provider’s 10th acquisition since it received private equity backing in January 2017. Financial terms of the deal were not disclosed. Richmond, Virginia-based Care Advantage, which is backed by New York-based PE firm BelHealth Investment Partners, provides […]