Why The Growing Home Care Company AccordCare Is Payer Agnostic

Most home care companies are generally committed to a single payer source more than they are the other ones, whether it’s private pay or Medicaid. But many companies have begun engaging with Medicare Advantage (MA), too, and most all companies have at least thought about diversifying their revenue, at least by a little. Still, there’s […]

‘We Are the Table’: The Future of Risk-Taking for Home Care Providers

The home-based care provider Care Advantage is at somewhat of an inflection point. Last year, the private investment firm Searchlight Capital landed a majority stake in the company. With a greater access to capital, the company is determined to gain an even stronger footprint in the Mid-Atlantic U.S., and its recent acquisitions reflect that. Overall, […]

What Home Care Operators Can Expect from MA Plans in 2022

October is normally a pretty eventful time for home health and home care operators. This year will certainly be no different, particularly when it comes to emerging Medicare Advantage (MA) opportunities. As Medicare-certified home health agencies await the final payment rule that comes out at the end of October, home care companies will be closely […]

MA Plans Prioritizing Social Isolation Offer Partnership Opportunities for Home Care

Social isolation is a significant detriment to health and has become a prime area of focus for most Medicare Advantage (MA) plans. As home care providers increasingly seek out MA opportunities, they’re poised to help mitigate America’s senior loneliness epidemic. Throughout 2020, the COVID-19 emergency has placed a spotlight on the unique ways that seniors […]

‘Let’s Find Solutions That Work’: Care Advantage, Anthem Pioneer Pay-for-Performance Agreement for LTSS

In the post-acute care world, value-based contracting can be fairly straightforward. Sick patients are discharged from the hospital, home health agencies are brought in to help them recover, and then they’re paid appropriately based on how well those people recover. But value-based care is frequently much more complicated and murkier in long-term care, particularly when […]

Federal Lawmakers Look to Handcuff CMMI

Bipartisan lawmakers introduced a bill on Monday that would increase oversight and require more transparency from the Center for Medicare & Medicaid Innovation (CMMI), the U.S. Department of Health & Human Services (HHS) branch that tests new payment models and delivery options. The bill, dubbed the “Strengthening Innovation in Medicare and Medicaid Act,” could handcuff […]

HHCN Research: Personal Care Services Projected to Dominate Home Care’s 2020 Medicare Advantage Involvement

The Medicare Advantage (MA) expansions that the Centers for Medicare & Medicaid Services (CMS) announced this year and in early 2018 open the door to creative applications of non-medical home care services designed to proactively improve individuals’ health. The pair of new rules, with the broader of the two taking effect in 2020, have led […]

Insurer Anthem Strikes Deal for Palliative Care Company Aspire Health

National health insurance giant Anthem, Inc. (NYSE: ANTM) is buying Nashville-based Aspire Health, the nation’s largest non-hospice, community-based palliative care provider. Terms of the deal were not disclosed. Anthem’s play for Aspire Health, announced Wednesday, is the latest deal to further blur the lines between insurance companies and in-home care businesses. Humana (NYSE: HUM) and […]