‘Do The Homework’: What Home Health Providers Need To Know Before Sitting Down With Payers

Diving into value-based arrangements with payers always sounds good, in theory, for home health providers. But it is easier said than done. Providers have to commit to value-based care, but even before that, they need to do their homework to be successful over the long haul. Moving away from fee-for-service and moving toward risk through […]

6 Home Health Providers To Watch In 2023

Whether it’s because of their proven leadership teams looking to shake up the market or their roles in a jaw-dropping transaction, there are several home health providers that stand out among their peers in 2023. And the moves that these companies – new players and established powerhouses alike – make over the next 6-12 months […]

The Hidden Costs Home Health Providers Face When Taking On More MA Patients

As Medicare Advantage (MA) penetration continues, home health agencies are coming to grips with the additional — and sometimes hidden — costs that are associated with transitioning to a payer mix more dominated by MA. Whether those costs come from operational changes or otherwise, the financial impact of MA’s market penetration can’t be ignored. “To […]

Humana, Elara Caring, Frontpoint Health Share Best Practices For MA-Home Health Relationships

The nature of home health provider-Medicare Advantage (MA) plan relationships has slowly begun to change, as some organizations have found ways to successfully work together and derive value from these collaborations more effectively. One factor that is changing the nature of payer and provider relationships is that there’s no denying that MA enrollment is on […]

Exploring Recent Home Health-Medicare Advantage Developments

The 2023 home health final payment rule was released Monday. With a positive market-basket update for 2023 but also jarring long-term cuts, it will have ramifications for home health providers for years potentially, barring mitigating legislation or a complete change of course from the Centers for Medicare & Medicaid Services (CMS). But there have been […]