Medicare Advantage Plans Pulling Back On In-Home Care Supplemental Benefits
Insurance companies selling Medicare Advantage (MA) plans have been facing increased scrutiny from members of Congress and regulators, with critics of the private version of Medicare claiming carriers...
View ArticleBlue Cross Blue Shield Of Massachusetts To Eliminate Prior Authorization For...
Blue Cross Blue Shield of Massachusetts is getting rid of one of the biggest pain points for home health providers: prior authorization. The change will eliminate more than 14,000 authorizations,...
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Enhabit Touts Improved Labor Numbers, New MA Contracts Amid Strategic Review
Amid a strategic review that could end in a merger or sale, Enhabit Inc. (NYSE: EHAB) leaders are happy with the company’s progress, specifically on the labor and clinical outcome fronts. Enhabit CEO...
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Aetna Bucks Medicare Advantage Trend, Continues To Invest In Home-Based Care...
This article is a part of your HHCN+ Membership Funding for fee-for-service home health care and home- and community-based services ebbs and flows. But the payer source most likely to dictate the...
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Where Providers Have Leverage In Negotiations With Medicare Advantage Plans
To thrive and survive in a value-based care world, post-acute care providers need to be able to partner – and pivot – on the fly. Convincing payers of their worth is undoubtedly the first step,...
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Medicare Advantage Patients Attempting To Utilize Home Health Care Are...
Traditional Medicare beneficiaries are finding they have solid access to home health care. Medicare Advantage (MA) members utilizing home health care, on the other hand, are having a much harder time...
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Humana’s Plans For Value-Based Care, Home Health M&A
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...
View ArticleAs 2024 Nears, Large Home Health Providers Are Cementing Their MA Strategies
Home health providers’ battle for fair reimbursement from Medicare Advantage (MA) plans will be a “generational battle,” and not one they will win overnight. But, at least for larger home health...
View ArticleLHC Group Gets Center-Stage Treatment At UnitedHealth Group’s Investor Day
UnitedHealth Group (NYSE: UNH) had its annual investor day Wednesday. While the event has included much about home-based care in the past, this time, home health care gained an even brighter spotlight...
View ArticleHumana Partners With CINQCARE To Deliver Home-Based Care To Medicare...
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...
View ArticleCVS Leveraging Health Care Services Segment To ‘Leapfrog’ Its Peers
CVS Health (NYSE: CVS) held its investor day Tuesday, which included company leaders’ ambitious plan for the future. That plan includes a synchronization of its health care delivery arm with the rest...
View ArticleClass-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...
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Recent Medicare Advantage Developments Bode Well For Home Health Providers
This article is a part of your HHCN+ Membership Home health providers have griped with their Medicare Advantage (MA) plan partners for years over poor rates, claim denials and increased administrative...
View ArticleThe Top 10 Home Health Care News Stories Of 2023
In the first year that truly felt “post-COVID,” home-based care providers did not see a shortage of challenges. Instead, in 2023, home health providers saw another year defined by payment struggles,...
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‘We Need To Go Where The Patients Are’: How Home Health Agencies Are...
This article is a part of your HHCN+ Membership Medicare Advantage (MA) enrollment has been on a steady climb over the last two decades. As such, home health agencies have started to adjust operations...
View ArticleCVS Health Ventures Backs Home-Based Care Company WellBe Senior Medical
WellBe Senior Medical has received an investment from CVS Health Ventures, the corporate venture capital arm of CVS Health (NYSE: CVS). The company did not disclose the investment amount. The funds...
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Top Home Health Trends For 2024
This article is a part of your HHCN+ Membership 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...
View ArticleAnother ‘Doomy, Gloomy’ Home Health Landscape Awaits Providers In 2024
Home health providers could be facing a “doomy, gloomy” landscape in 2024, fresh off of two years that could be characterized as, well, doomy and gloomy. On Monday at the Home Care 100 conference in...
View Article‘It’s Not Just The Payer’s Fault’: Aveanna CEO Jeff Shaner On Listening To...
In terms of home-based care providers’ relationship with payers, Aveanna Healthcare Holdings Inc. (Nasdaq: AVAH) CEO Jeff Shaner believes that the next few years will be “transformative.” Providers...
View ArticleElara Caring CEO Scott Powers: MA Plans Coming To Negotiating Table With More...
When there are as many problems to hurdle in a space such as home health care, leaders have to prioritize. Interestingly enough, not many companies have the same top priorities, however. The...
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