Transactions: Legacy Care Partners Acquires Superior Home Health; SSM Health Bolsters Health at Home Arm

Legacy Care Partners Acquires Superior Home Health and Superior Hospice of Texas Legacy Care Partners – which also owns Advanced Home Care – has acquired Superior Home Health and Superior Hospice of Texas. Terms of the deal were not disclosed. “We extend a warm welcome to Superior Home Health and Superior Hospice into the Legacy […]

Home-Based Care M&A Downturn Partly Driven By Biden Administration’s Attitude Toward Dealmaking

In addition to high interest rates, there’s another factor slowing down health care and post-acute care M&A, according to a new report. Released last week, Pitchbook’s Q4 health care services report shines a light on the Biden administration’s antitrust and private equity stances, and how those may be affecting dealmaking. For instance, the Humana Inc. […]

The Top 10 Home Health Care News Stories Of 2023

In the first year that truly felt “post-COVID,” home-based care providers did not see a shortage of challenges. Instead, in 2023, home health providers saw another year defined by payment struggles, with both the Centers for Medicare & Medicaid Services (CMS) and Medicare Advantage (MA) plans. Home care providers, meanwhile, were still grappling with high […]

Recent Medicare Advantage Developments Bode Well For Home Health Providers

Home health providers have griped with their Medicare Advantage (MA) plan partners for years over poor rates, claim denials and increased administrative burden. Providers have stopped short of banding together to deny coverage for these plans, but some of the top companies have reallocated capacity to “preferred payers.” In the end, though, it may not […]

Cigna Group, Humana Suspend Negotiations Around A Potential Combination

Cigna Group (NYSE: CI) and Humana Inc. (NYSE: HUM) are reportedly no longer in deal talks. The two parties could not agree on a fair price, and there was also shareholder disinterest in a potential combination. The Wall Street Journal first reported on the suspension of talks on Sunday. Together, the two companies would have […]

How A Cigna-Humana Combination Could Alter Home-Based Care In The US

Over the last week, a potential Cigna Group (NYSE: CI) and Humana Inc. (NYSE: HUM) combination has gone from a rumor to a real possibility. After I reported on the topic for Home Health Care News on Tuesday, Reuters and The Wall Street Journal confirmed that the two companies were in talks, on Wednesday and […]

Rumors Swirl Around Potential Cigna Group-Humana Combination

Rumors suggesting that Cigna Group (NYSE: CI) and Humana Inc. (NYSE: HUM) are in talks to combine are swirling. Nothing is official yet, but the combination of two of the largest insurers in the country would have significant ripple effects on the home health industry, for a variety of reasons. On Nov. 6, Reuters first […]

Cigna Reaches $172 Million Settlement Over False Claims Act Allegations

Insurance giant Cigna (NYSE: CI) has reached an agreement with the U.S. government over claims it overcharged the Medicare Advantage (MA) program by misrepresenting patients’ conditions. As part of the agreement, Cigna will pay more than $172 million to the government and will also enter into a corporate integrity agreement with the U.S. Department of […]

Cigna Is Leveraging Its Scale To Provide Care In The Home

The Cigna Group (NYSE: CI) is leveraging its ubiquity to push care into the home. “Unlike many of our competitors, we directly employ hundreds of field-based infusion nurses,” Cigna Chairman and CEO David Cordani said during the company’s second-quarter earnings call Thursday. “Today, they are located within 75 miles of approximately 90% of the U.S. […]

The Home-Focused Benefits Of 6 Medicare Advantage Organizations for 2023

With the annual enrollment period just around the corner, Medicare Advantage (MA) organizations are starting to tout what benefits they’re offering seniors for the upcoming year. MA is a form of Medicare that is administered by private insurers. Over recent years, plans have received more flexibility around what they can offer. That flexibility has allowed […]