How Home Care Providers Establish Credibility With Managed Medicaid Plans

Home-based care providers — both big and small — are struggling at the negotiating table with Medicare Advantage (MA) plans. But they’re also struggling in negotiations with managed Medicaid plans. While MA plans and managed Medicaid plans operate a bit differently, providers are having similar issues with both. Proving value to health plan leaders is […]

Offering Personalized, At-Home Benefits in MA Remains ‘Key Part’ of Anthem’s Strategy

Anthem Inc. (NYSE: ANTM) believes that its dedication to supplement benefits – including at-home care offerings – is strengthening its value proposition among other health plans. “In Medicare Advantage (MA), our continuing work to strengthen Anthem’s value proposition helped drive another strong annual election period,” Gail Boudreaux, the president and CEO of Anthem, said on […]

Evaluating Home Care’s Progress in Medicare Advantage

Many of the in-home supplemental benefits offered by Medicare Advantage (MA) plans are new. But whether they are through the primarily health-related pathway, which began in 2019, or through Special Supplemental Benefits for the Chronically Ill (SSBCI), which came a year later, these benefits are still being experimented with. Generally, the plans offering these new […]

Anthem MA Plans to Offer New In-Home Support Benefit in 2022

Newer supplemental benefits like access to in-home support services or a personal care helper have helped Anthem Inc. (NYSE: ANTM) attract and retain Medicare Advantage (MA) members over the past couple of years. Perhaps it’s no surprise then that the Indianapolis-based Anthem and a number of its affiliated health plans are adding on to their […]

Anthem CEO Breaks Down myNEXUS Acquisition, Touts At-Home Care Capabilities

Anthem Inc. (NYSE: ANTM) continues to tout its positioning when it comes to home-based care. The Indianapolis-based insurer acquired myNEXUS — a convener that manages home-based care for payers — earlier this year. Anthem’s focus on how that acquisition improves its overall network since then reflects its home-based commitments. “We closed on the acquisition of […]

LHC Group Expands Texas Joint Venture; Anthem Completes myNEXUS Acquisition

LHC Group announces JV expansion LHC Group Inc. (Nasdaq: LHCG) as well as partners Texas Health Resources and Methodist Health System are expanding their joint venture in Texas. The three health care organizations announced on Thursday that they’re purchasing and sharing ownership of Regent Home Health, a provider that currently serves patients and families in […]

Anthem to Buy Home-Based Care Management Company myNEXUS

Anthem Inc. (NYSE: ANTM) is bolstering its home-based care capabilities. The Indianapolis-based health insurer announced Wednesday that it has entered into an agreement to buy myNEXUS Inc., a technology-enabled company that manages home-based care for payers. Financial terms of the agreement were not disclosed. “Providing timely care for members in their homes allows for both […]

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 […]