Over the years, health insurers have increasingly purchased health care providers, creating monolithic “payvider” organizations. This consolidation has captured the home health industry’s careful attention, and several stories on this trend have been among the most-read on Home Health Care News in the last month. Some of those stories have reflected the ongoing growth of […]
The Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey is a vital tool for measuring home health patient experiences. However, these surveys are often complex and can be unreliable feedback methods because of low patient response rates. While home health providers, especially smaller organizations, may struggle to implement and leverage CAHPS data, survey results […]
Humana Inc. (NYSE: HUM) touted “solid” second-quarter results and emphasized a multi-year transformation centered on scalable growth, cost reduction and technology integration during its earnings call Wednesday. The company announced a consolidated revenue of over $32 billion, a 9.6% increase compared to the same quarter last year. CEO Jim Rechtin attributed this growth to the […]
As of 2025, over half of eligible beneficiaries are enrolled in a Medicare Advantage (MA) plan, according to a new KFF report. As MA penetration has increased, home health providers have struggled to grow or even maintain their operations, and MA growth is expected to continue. Enrollment in MA plans influences federal spending because Medicare […]
Just one month after almost 50 health insurance plans pledged to reduce prior authorization requirements, Humana Inc. (NYSE: HUM) is one of the first up to bat. On Tuesday, the insurance giant announced its plans to eliminate one-third of prior authorizations for outpatient services by Jan. 1, 2026. The company will drop the authorization requirement […]
A federal judge has dismissed Humana’s (NYSE: HUM) lawsuit against the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS). The company filed suit in October 2024, challenging CMS’ Medicare Advantage (MA) quality scores. Humana claimed that the agency acted “arbitrarily and capriciously” in downgrading its ratings, […]
Although Humana (NYSE: HUM) is known as a major insurance company, these days, it is positioning itself as a health services company. CenterWell, which includes a home health segment, is a big part of this evolution. The payvider plans to expand its home health service line to protect and grow its market share, while investing […]
UnitedHealth Group (NYSE: UNH) and Humana (NYSE: HUM) are pushing to increase oversight and limit payments to insurers for in-home clinical assessments in Medicare Advantage (MA). On Friday, UnitedHealth called to increase MA oversight of in-home clinical visits and deploy annual audits focused on in-home clinical visits. Humana told congressional staffers that it supported limiting […]
Humana Inc. (NYSE: HUM) has confirmed that Susan Benoit, the former president and CEO of CenterWell Home Health, has transitioned to a role at Gentiva. Benoit currently serves as senior vice president of business development for Gentiva’s hospice division. Benoit has been at Gentiva since the summer of 2024, according to a company spokesperson. Humana […]
Senior executives are on the move at home health providers across the country. Humana names new senior VP Anthony D’Alonzo has joined Humana (NYSE: HUM) as its senior vice president of home solutions strategy and business development. D’Alonzo previously served in various roles at Bayada Home Health Care for almost 15 years, most recently as […]
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