Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health

Physician leaders from Louisville, Kentucky-based Humana Inc. (NYSE: HUM) and the National Quality Forum have published a joint article in the New England Journal of Medicine examining the role social, behavioral and environmental factors play in overall health — and why those aspects should be incorporated into future payment models.  Published Wednesday, the piece is […]

Humana CMO: We Are Moving Full Speed Ahead on Home Care

Health insurance giant Humana Inc. (NYSE: HUM) has not been shy about its strategy of moving further and further into the home. Right now, the company is busy with its many in-home endeavors, which include Humana At Home, Curo Health Services and Kindred at Home, the largest provider of home health and hospice services in […]

Humana At Home President: The Industry Will Adapt to PDGM

With a focus on addressing the social determinants of health through non-medical care, health insurance giant Humana Inc. (NYSE: HUM) has set its sights on care in the home. In addition to Humana At Home, the company sends almost 50,000 nurses into the home daily through Kindred at Home, the largest provider of home health […]

6 Steps Home Care Providers Must Take to Succeed in Medicare Advantage

The recent rule changes to Medicare Advantage (MA) from Centers for Medicare & Medicaid Services have created a level of flexibility and creativity for home care participation that is nearly unchecked. For example, the final call letter for MA plan year 2020 notes that “MA organizations have broad discretion” in determining what’s called the “Special […]

Humana Executives Get Candid About PDGM, Medicare Advantage

Top executives from Humana Inc. (NYSE: HUM) on Wednesday got candid about their home health operations and the expected impact of the Patient-Driven Groupings Model (PDGM). In addition to its long-standing Humana At Home business, the Louisville, Kentucky-based insurance company owns a 40% stake in Kindred at Home, one of the largest home health providers […]

Judge Takes Key Step in Home Health Workers’ Suit Against Humana

A federal judge in Connecticut on Monday OK’d four classes as part of an ongoing suit against insurance giant Humana Inc. (NYSE: HUM) and two of its affiliates, brought on by home health workers who claim they were cheated out of pay and overtime wages. In addition to Louisville, Kentucky-based Humana, the legal battle specifically […]

Home Health Executive Forecast for 2019: Obamacare, Consolidation and PDGM

From the introduction of the Patient-Driven Groupings Model (PDGM) to fine-tuning the nine-state Value-Based Purchasing Model (VBPM), 2018 was an important year for home health care at large. Next year will bring its own set of challenges and opportunities — some new and others old. Home health industry insiders and top executives expect Texas’ recent […]

Humana Highlights Home Health’s Value in Reducing Hospital Readmissions

Insurance giant Humana, Inc. (NYSE: HUM) is touting the value of its home health business—and its ability to prevent costly hospital readmissions and streamline transitions of care. Louisville, Kentucky-based Humana highlighted its home health line, Humana At Home, in its latest corporate social responsibility report, released on Wednesday. In 2017, Humana At Home served nearly […]