Home Care Driving Medicare Advantage Plan Growth

With 2020 just a few months away, Medicare Advantage (MA) plans are popping up left and right. Home care benefits continue to be a driving force behind the growth. In the past week alone, the 2020 market gained at least two new MA plans. Anthem Blue Cross and Blue Shield of Maine and MaineHealth announced […]

Why 2020 Will Launch the Medicare Advantage Boom in Home Care

The Medicare Advantage revolution continues to grow — and starting in 2020, home care providers will reap the rewards. Through a series of law changes over the past decade, including the Patient Protection and Affordable Care Act of 2010 and the Bipartisan Budget Act of 2018, Medicare’s move away from fee-for-service models and toward value-based […]

Amedisys Planning Massive Expansion of Personal Care Services

While personal care is the smallest segment in Amedisys Inc.’s (Nasdaq: AMED) portfolio of service offerings, the home-based care powerhouse has lofty goals to expand its personal care services into as many as 47 additional states in the years to come. Medicare Advantage is serving as a catalyst for the growth. That’s according to comments […]

What Anthem Wants from Its Medicare Advantage Home Care Partners

Geographic alignment and outside-of-the-box thinking are among the qualities Anthem Inc. (NYSE: ANTM) values from its prospective home care partners in Medicare Advantage (MA) plans. An ability to demonstrate the value of in-home care services through data and evidence is also important, Martin Esquivel, vice president of Medicare product development for Indianapolis-based Anthem, told Home […]

CMS Adds More In-Home Care Services as Medicare Advantage Benefits for 2020

For the second year in a row, the Centers for Medicare and Medicaid Services (CMS) has widened the scope of supplemental benefits Medicare Advantage (MA) plans can offer, creating even more opportunities for home care providers to become partners in MA contracts. CMS is also giving the MA program a pay raise to help drive […]

ClearCare Launches Home Care Tool for Tracking Condition Changes, Hospitalizations

Online home care platform ClearCare announced Monday the launch of a new tool for helping home care agencies better handle client condition changes and track hospitalizations. San Francisco-based ClearCare currently provides caregiver scheduling, billing and other software solutions to more than 4,000 home care agencies in total, including several of the industry’s largest. Its latest […]

‘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. […]

Surging Functional Impairment Costs Could Mean Big Business for Home Care

Functional impairment is, perhaps, far more costly to the U.S. health care system than previously thought. Functional impairment is broadly defined as a condition or status that interferes with one or more basic life activities, such as bathing, eating or dressing. To help carry out these activities, individuals living with functional impairments often turn to […]

3 Ways Home Care Providers Can Win Health Plan Attention

Health plans big and small have recognized the value home-based care providers bring to the table in terms of avoiding costly hospital readmissions and supporting America’s seniors as they age in place. But forging initial relationships with insurers — especially top Medicare Advantage (MA) players, such as UnitedHealthcare (NYSE: UNH), Humana Inc. (NYSE: HUM) and […]