Lawsuit Over UnitedHealth Group’s AI Strategy Corroborates Home Health Providers’ Convener Claims

A class action lawsuit has been filed against UnitedHealth Group (NYSE: UNH) in Minnesota. That lawsuit pertains to two issues that home health providers have long griped over: algorithms dictating care, and conveners’ role in between payers and providers. The lawsuit follows an investigation from STAT News, which alleged that UnitedHealth Group – through naviHealth […]

$5.4B LHC Group Deal Creates Home-Based Care Health System for Optum

Last week, UnitedHealth Group (NYSE: UNH) revealed that it’s buying aging-in-place giant LHC Group Inc. (Nasdaq: LHCG) and combining the provider with its Optum business. In the aftermath of that announcement, one of the most interesting questions to ponder has been: How will LHC Group fit alongside the rest of Optum’s home-focused offerings? Optum is […]

InnovAge Appoints New CEO; Axxess Beefs Up Executive Leadership Team

InnovAge names new president and CEO Longtime InnovAge (Nasdaq: INNV) CEO Maureen Hewitt has stepped down from the role. Patrick Blair, formerly of Bayada Home Health Care, has been named president and CEO by InnovAge’s board of directors. The appointment comes after reports that Colorado’s Department of Health Care Policy and Financing and the U.S. […]

How Home-Focused Conveners Bridge the Gap Between Payers, Providers

The home is increasingly becoming the No. 1 site of care for seniors, partly thanks to the services of both home health and home care providers. But as the post-acute care world transitions away from fee for services toward value-based care, in-home care operators often find themselves in need of support. And that’s where the […]

Great Lakes Caring Targets Population Health With Fuller in C-Suite

Creating partnerships with local health care organizations and driving the value and benefits to home health is a top priority for industry veteran Brian Fuller, as he settles into his new role as chief strategy officer for Jackson, Michigan-based Great Lakes Caring Home Health and Hospice. His appointment was announced October 13 by the company. […]

Bundled Payments 2.0 Coming Soon

Home health care providers have become an integral part of bundled payment initiatives, and more are likely on the way. Bundled Payments for Care Improvement (BPCI) 2.0 or Advance BPCI is expected to be announced by the Centers for Medicare & Medicaid Services (CMS) imminently, providing an opportunity for home health to get in on the […]

New Company to Help Large Insurers Set Home Health Payments

Some home health providers in Pennsylvania will soon have their payments tied more closely to quality outcomes, as a major insurer joins forces with a newly formed and first-of-its-kind post-acute management company. The new venture, HM Home and Community Services LLC, stems from Allegheny Health Network (AHN), an integrated health care delivery system that serves 29 […]

Post-Acute Partnership Aims to Lower Hospital Readmissions

Health Alliance Medical Plans and naviHealth announced today the expansion of a partnership to prevent costly hospital readmissions.  The partnership will utilize naviHealth’s clinical decision support technology and field-based Care Managers to manage Health Alliance’s members across the post-acute care continuum, the company said in a release. “As greater coordination of care is increasingly being recognized […]