Number of MA Plans Offering In-Home Support Services to Increase by 93% in 2021

The U.S. Centers for Medicare & Medicaid Services (CMS) last month released new Medicare Advantage (MA) figures highlighting a massive expansion of plans offering home-focused supplemental benefits in 2021. The agency shared additional data on Wednesday — and it now appears the ongoing home care MA movement is even bigger than originally anticipated. “These benefit […]

Anthem Reportedly in Talks to Buy CareCentrix

Dealmaking rumors continue to swirl this week. In the latest piece of M&A gossip, Anthem Inc. (NYSE: ANTM) is reportedly in “late-stage” talks to acquire the PE-backed CareCentrix, according to PE Hub. Rumors of a possible CareCentrix deal come just days after reports surfaced about Centerbridge Partners and Vistria Group going after Wellspring Capital Management’s […]

Anthem, Aspire Exec Brad Smith to Lead Medicare’s Innovation Center

The Centers for Medicare and Medicaid Innovation (CMMI)’s new director is Brad Smith, the U.S. Department of Health and Human Services (HHS) announced Monday. Previously, Smith co-founded and worked as the CEO of the home-based palliative care provider Aspire Health before it was sold to national insurance giant Anthem in May 2018. He most recently […]

Anthem Doubles Down on Home Care, Whole-Person Health for 2020

Anthem Inc. (NYSE: ANTM) and a number of its affiliated health plans were among the relatively few Medicare Advantage (MA) entities to actually offer home care-related supplemental benefits for the 2019 plan year. The Indianapolis-based Anthem was one of the first major insurers to publicly promote that fact as well, highlighting its expanded benefits packages […]

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 Proposes Medicare Advantage Changes to Expand In-Home Telehealth Coverage

The Centers for Medicare & Medicaid Services (CMS) on Friday unveiled a proposal to expand telehealth benefits in Medicare Advantage, making it easier for beneficiaries to access these services from home rather than a health care facility. Under the proposed rule, which would take effect in calendar year 2020, MA plans could cover telehealth services […]

NAHC’s Dombi: Many Medicare Advantage Insurers Do Not Value In-Home Care

Most Medicare Advantage insurers do not yet appreciate the value of home-based care, according to Bill Dombi, president of the National Association of Home Care & Hospice (NAHC). “I didn’t enroll in a Medicare Advantage plan, because I don’t think they believe in home care yet,” Dombi said in opening remarks at NAHC’s annual conference […]