Clik here to view.
As MA Penetration Increases, Plans’ Financial Belts Are Tightening
On Wednesday, the Centers for Medicare & Medicaid Services (CMS) released its 2025 proposed payment updates for the Medicare Advantage (MA) and Medicare Part D Prescription Drug Programs. These...
View ArticleClik here to view.
For Home Care Providers Still Invested In Medicare Advantage Business,...
This article is a part of your HHCN+ Membership Around 2019, Medicare Advantage (MA) was all the rave among home care providers. That’s because, in 2018 and 2019, two pathways opened for MA plans to...
View ArticleHome-Focused Network Management Company Dina Raises $7 Million
Dina — a digital network management company for home- and community-based services — recently closed a $7 million funding round. The round was led by venture capital investor First Analysis, with...
View ArticleReport: MA Plans Administering At-Home Care Benefits Should Follow Medicaid...
Medicare Advantage (MA) supplemental benefits have expanded and evolved over the last five or six years, but there’s a need to concretely prove their value. One way to do so would be by mirroring the...
View ArticleClik here to view.
Home Health Disparities: Medicare Advantage Patients Receive Fewer Visits,...
Home health patients under Medicare Advantage (MA) plans have worse functional outcomes compared to traditional Medicare patients, likely as a result of receiving fewer visits, according to a new...
View ArticleWhile Walgreens Conducts Strategic Review Of Assets, CVS Health Considers...
Earlier this week, Walgreens Boots Alliance (Nasdaq: WBA) CEO Tim Wentworth teased a “strategic review” of the company’s assets, including those within the U.S. Healthcare segment. Meanwhile, CVS...
View ArticleUnitedHealthcare, Humana, Aetna Continue To Outgain Peers In Medicare Advantage
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...
View ArticleClik here to view.
CMS To End Hospice MA Carve-In: Insights For Home-Based Care Providers
This article is a part of your HHCN+ Membership Grand opening, grand closing. Hospice providers began to work with Medicare Advantage (MA) via the Value-Based Insurance Design (VBID) demonstration in...
View ArticleClik here to view.
Trends That Are Shifting The Medicare Advantage Market
As Medicare Advantage (MA) plans continue to gain more beneficiaries, home-based care providers find themselves at a crossroads. For some, the allure of MA lies in its potential to unlock new...
View ArticleClik here to view.
CenterWell President Sanjay Shetty: ‘It’s Time To Give Home Health Its Due’
This article is a part of your HHCN+ Membership CenterWell President Dr. Sanjay Shetty knows home health care is an extremely valuable service. Unlike many other leaders, he’s in the position to prove...
View ArticleClik here to view.
Why Bayada Is Reconsidering How It Deals With Home Health Patients Under MA...
This article is a part of your HHCN+ Membership At a macro level, home health organizations are struggling with Medicare Advantage (MA) for two main reasons: benefit design and reimbursement. In order...
View ArticleCMS Finalizes Underwhelming Payment Adjustment For Medicare Advantage Plans
The Centers for Medicare & Medicaid Services (CMS) finalized a rule that will result in a 3.7% positive payment adjustment for Medicare Advantage (MA) plans in 2025. According to an analysis done...
View ArticleClik here to view.
As Need For LTSS In US Grows, MA Plans Still Have The Chance To Fill The Gap
With the need for long-term services and supports (LTSS) growing, Medicare Advantage (MA) plans are positioned to offer home-based care services through supplemental benefits. That’s one key takeaway...
View ArticleUnitedHealth Group Remains Under Duress From Change Healthcare Cyberattack,...
It was a turbulent start to the year for the health care giant UnitedHealth Group, driven by the cyberattack on Change Healthcare and a U.S. Department of Justice (DOJ) antitrust investigation. Amid...
View ArticleDespite Strong Medicare Advantage Headwinds, Humana Remains Bullish On Growth...
Both home health care and Medicare Advantage (MA) are currently in rough rate environments. But Humana Inc. (NYSE: HUM) leaders believe in the company’s ability to continue growing MA membership with...
View Article‘It’s A Priority’: Where Revenue Diversification Has Led Avid Health at Home
At a time when many home care providers are shutting the door on Medicare Advantage (MA), Avid Health at Home has managed to go the other way. Avid Health at Home is a home care platform backed by...
View ArticleJim Rechtin To Take Over For Bruce Broussard As Humana CEO This Summer
Jim Rechtin, who was named Bruce Broussard’s successor at Humana Inc. (NYSE: HUM) in October of last year, will officially take over on July 1, the company announced Monday. Rechtin joined Humana as...
View ArticleWhy Humana Chose Jim Rechtin As Its Next CEO
Humana Inc. (NYSE: HUM) announced Monday that Jim Rechtin would be succeeding Bruce Broussard in the CEO role on July 1. On Tuesday, Broussard explained why. Ultimately, the CEO succession plan had...
View ArticleClik here to view.
Medicare Advantage Penetration Plateau Provides Home Health Tailwind
This article is a part of your HHCN+ Membership If there were ever a time for Medicare Advantage-related troubles to cool off in the home health care space, now would be it. And, heading into the...
View ArticleIn-Home Care Support Helps MA Plans Significantly Lower Costs, Study Suggests
A new study of Medicare Advantage (MA) beneficiaries found that in-home companion care reduced care costs by close to 10%. The study – conducted by a national actuarial firm and commissioned by the...
View Article