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 […]

Anthem Adds Home Care Benefits Under Relaxed Medicare Advantage Rule

Home care providers have been wondering how insurers will capitalize on the allowance of non-skilled in-home care services under the Medicare Advantage (MA) program since policymakers initially opened that door in early spring. They’re now starting to get some clarity, thanks to Anthem, Inc. (NYSE: ANTM), one of the top players in the MA market. […]

Walmart, Anthem to Serve Medicare Advantage Members Together

An insurance giant and retail superpower are teaming up in another move reflecting consumers’ desire to age in place. Anthem (NYSE: ANTM) and Walmart (NYSE: WMT) announced Monday that they’re forming a partnership to decrease health care costs and improve access to medication and supplies. If successful, the move could increase shopping convenience to home care providers and […]

M&A and Financing Newsflash: Anthem Completes Acquisition of Aspire Health

Anthem Finalizes Deal for Aspire Health Months Ahead of Schedule  Insurer Anthem, Inc. (NYSE: ANTM) has completed its acquisition of Aspire Health, the nation’s largest provider of non-hospice, community-based palliative care. Financial terms of the transaction were not disclosed. Indianapolis-based Anthem and its affiliated companies provide products and services to more than 74 million people. […]

Home Health Agency Continues Legal Fight for Lost Profits

New Vision Home Heathcare, Inc., a home health care agency based in Southfield, Michigan, is taking on health insurance and managed care giant Anthem in a Medicare billing suit that seeks $20 million in lost profits. Anthem, the largest for-profit managed health care company in the Blue Cross and Blue Shield Association, used its subsidiary, Medicare program […]