Despite Strong Medicare Advantage Headwinds, Humana Remains Bullish On Growth Opportunities

Both home health care and Medicare Advantage (MA) are currently in rough rate environments. But Humana Inc. (NYSE: HUM) leaders believe in the company’s ability to continue growing MA membership with solid margins, partly by leaning into CenterWell Home Health and its other provider assets. Earlier this month, the Centers for Medicare & Medicaid Services […]

How Amedisys, CenterWell Home Health Are Retaining Workers In 2024

Every home-based care provider wants to recruit and retain better this year than they did last year. But that’s easier said than done. Companies are constantly tinkering with their approaches to attract and retain skilled professionals, and are doing so in 2024 yet again. Between new recruiting processes, career advancement opportunities and more technology, there’s […]

CenterWell President Sanjay Shetty: ‘It’s Time To Give Home Health Its Due’

CenterWell President Dr. Sanjay Shetty knows home health care is an extremely valuable service. Unlike many other leaders, he’s in the position to prove it. For close to a year now, Shetty has led Humana’s (NYSE: HUM) health care services division, which includes CenterWell Home Health, CenterWell Primary Care and CenterWell Pharmacy. Previously, he was […]

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. […]

Top Home Health Trends For 2024

In 2023, the decreasing influence of COVID-19 did not mitigate the overall operating pressures home health providers were forced to face. In the new year, there still remains plenty of opportunity, but much to work through to tap into that opportunity. More proposed rate cuts to home health reimbursement are expected from the Centers for […]

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 […]

Class-Action Lawsuit Accuses Humana Of AI-Driven, Post-Acute Care Claim Denials

A class-action lawsuit was filed against Humana Inc. (NYSE: HUM) in Kentucky on Tuesday. The company is the latest insurer under fire over its alleged utilization of AI to dictate or deny post-acute care. Humana Medicare Advantage (MA) beneficiaries, specifically, filed the lawsuit, alleging that the company illegally used algorithms to limit post-acute care services. […]

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 […]