Medicare Advantage (MA) has provided tailwinds for home-based care providers, as the overall MA member population has grown substantially over the last decade. In 2020, there were over 24 million MA members in the U.S., over double the amount there were in 2010 and nearly five times the amount in 2005, according to Centers for […]
Humana at Home
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 […]
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 […]
Walmart Inc. (NYSE: WMT) — which reportedly came somewhat close to becoming a home health provider in its own right last year — is diving deeper into the health care sector. Last week, the retail giant confirmed plans to open up a new health clinic, dubbed Walmart Health, in Georgia. CNBC first reported the news […]
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 […]
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 […]
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 […]
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 […]
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 […]
The rise of value-based care models — or approaches to care that prioritize quality more than quantity — has meant primary care physicians have had to rely on a team-based approach to stay connected to patients in their everyday lives. That’s why, according to Humana Inc. (NYSE: HUM) leadership, the future of health care is […]