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 […]

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 […]