In 2023, Medicare Advantage (MA) plan members represented more than half of all Medicare beneficiaries for the first time. In 2024, while penetration continues, there are other trends within MA that home-based care providers should be paying attention to. Seniors have more options than ever when choosing MA plans. But a few of the top […]
Humana Inc.
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. […]
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 […]
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 […]
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 (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 […]
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 […]
Humana Inc. (NYSE: HUM) has formed a partnership with CINQCARE, a health care company that delivers care in the home and community. “At Humana, our unwavering commitment has always been to provide high-quality care and improve health outcomes,” Julie Mascari, president of Humana Northeast regional Medicare, said in a press statement. “By combining our expertise […]
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 […]
Over the years, Humana Inc. (NYSE: HUM) has been vocal about prioritizing value-based care. On Wednesday, it released its annual “Value-Based Care Report,” which affirms why its been crucial to the company’s Medicare Advantage (MA) beneficiaries. Overall, MA members who are getting care through value-based arrangements received more time with their primary care physician. These […]
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