In December 2024, BrightStar Care Founder Shelly Sun Berkowitz was within 10 days of closing a deal to sell the company, when she decided to step away. “It just didn’t feel right,” she told me this week. “I didn’t feel like I was going to have the voice I wanted to have, I didn’t feel […]
Despite ongoing questions about the outlook for its Medicare Advantage business, Humana (NYSE: HUM) plans to invest in the growth of its CenterWell segment. CenterWell is Humana’s provider services arm, which includes home health, pharmacy and primary care. “Both CenterWell and Medicaid are important enablers of our long-term strategy,” Humana CEO Jim Rechtin said during […]
The year ahead will be a fascinating one in home health care. As 2025 dawns, the industry faces many uncertainties, and the next 12 months will be pivotal in shaping the future. Regulatory decisions will have an outsized impact on home health providers in the near-term, and their effects could stretch well into the future. […]
Celeste Mellet will succeed Susan Diamond as CFO of Humana Inc. (NYSE: HUM) effective Jan. 11, 2025. Diamond is stepping down after an 18-year career at the Louisville, Kentucky-based company and will continue to serve in an advisory role until the end of 2025. “It’s been an honor to work with such talented colleagues during […]
Essentia Health has reached an agreement with UnitedHealthcare (UHC) to remain an in-network provider for UHC’s Medicare Advantage insurance plan in 2025. Earlier this year, Essentia announced plans to discontinue its status as an in-network provider for UHC and Humana Inc. (NYSE: HUM) Medicare Advantage insurance plans due to reported issues with denials of payment […]
The Cigna Group (NYSE: CI) said on Monday that it is officially not pursuing a combination with Humana Inc. (NYSE: HUM). That means that CenterWell Home Health, one of the largest home health entities in the country, will not be changing hands. Together, Cigna and Humana would have become one of the largest health care […]
Medicare Advantage (MA) star ratings have become a hot topic for Humana Inc. (NYSE: HUM). On Oct. 18, the company filed a lawsuit against the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) over its drop in star ratings. The number of Humana MA plans rated […]
Humana Inc. (NYSE: HUM) and Cigna Group (NYSE: CI) have reportedly resumed conversations around a merger. The two companies discussed the possibility of a merger in 2023, but ultimately paused those conversations a few weeks later. Bloomberg first reported resumed merger discussions between the two companies on Friday. The news comes at a time when […]
The Senate Homeland Security Permanent Subcommittee on Investigations (PSI) released a report on Thursday revealing that the nation’s three largest Medicare Advantage (MA) insurers have significantly increased the rate at which they denied seniors’ post-acute care from 2020 to 2023. This includes denying access to nursing homes, inpatient rehabilitation facilities and long-term acute care hospitals. […]
The Centers for Medicare & Medicaid Services (CMS) dealt a blow to UnitedHealth Group (NYSE: UNH) and Humana Inc. (NYSE: HUM) – the two largest Medicare Advantage (MA) administrators – by lowering their star ratings for 2025. Broadly, MA plans are rated on a scale from one to five, and CMS has lowered those ratings […]
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