‘The Patient Pays The Price’: Home Health Stakeholders Slam Medicare...
Medicare Advantage (MA) – the offshoot of traditional Medicare that’s administered by private insurance companies – has recently caught a lot of flak. As it pertains to home health care specifically,...
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Payers Continue To Take Short-Sighted View Of Home Health Care
This article is a part of your HHCN+ Membership Home health providers want better rates and arrangements from Medicare Advantage (MA) plans. The plans, on the other hand, sometimes still can’t figure...
View ArticleCareCentrix CEO: Health Plans Should ‘Want More Home Health Care’
The value-based and home-based care enablement platform CareCentrix is in an interesting position. Not only is it in between home health providers and Medicare Advantage (MA) plans, but it’s also now...
View ArticleWhat Makes A ‘Top Tier’ Payer In The Eyes Of A Home Health Provider
As the Centers for Medicare & Medicaid Services (CMS) cuts fee-for-service Medicare rates and Medicare Advantage (MA) penetration continues, top-tier home health companies are looking for top-tier...
View Article‘An Absurd Amount of Denials’: New Legislation Seeks to Streamline Access to...
A group of bipartisan lawmakers this week reintroduced legislation aimed at curtailing restrictive – and often flawed – prior-authorization processes within Medicare Advantage (MA). As it has been to...
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How Home Health Providers Get What They Want Out Of MA Plans
This article is a part of your HHCN+ Membership Believe it or not, some home health providers have figured out a way to get what they want from Medicare Advantage (MA) plans. At least to a certain...
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The Duality Of In-Home Health Risk Assessments
In-home health risk assessments and in-home health evaluations are a key part of Medicare Advantage (MA) plans’ strategy. On one end, they help recognize member needs, and help connect those members...
View ArticleWithout Proper Post-Acute Care Relationships, MA Plans Are Leaving Money On...
Health plans generally do not have great visibility into their members’ care after an acute health event. Even when they do, many aren’t confident in the post-acute care provider that’s serving their...
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What ‘Leveling Off’ Medicare Advantage Penetration Would Mean For Home Health...
This article is a part of your HHCN+ Membership The Centers for Medicare & Medicaid Services (CMS) isn’t letting up on cuts to home health payments, but its recent rulemaking in Medicare Advantage...
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Trapped In Medicare Advantage Catch-22, Home Health Providers Must Go Where...
This article is a part of your HHCN+ Membership To be the beneficiaries of an overwhelming amount of home health demand, providers have to take on a larger share of Medicare Advantage (MA) patients....
View ArticleHumana Goes On The Defensive For Medicare Advantage, Highlights Home Health...
Jim Rechtin took the helm as the president and CEO of Humana Inc. (NYSE: HUM) on the first of July. A month in, he’s already tasked with facing tough questions, like how the company plans to combat...
View ArticleThe Helper Bees Launches Flex Card To Streamline Home Care For Medicare...
The Helper Bees has introduced a flexible benefit card called helpful, which grants access to over-the-counter (OTC) products, groceries and a nationwide network of vetted Social Determinants of...
View ArticleCentene Becomes Latest Insurer To Pull Back On Medicare Advantage Footprint
Centene Corp. (NYSE: CNC) is set to pull back on Medicare Advantage (MA) in at least six states next year. As the Centers for Medicare & Medicaid Services (CMS) has made cuts to core rates over...
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What Comes Next After Enhabit’s UnitedHealthcare Contract Termination
This article is a part of your HHCN+ Membership Enhabit Inc. (NYSE: EHAB) CEO Barb Jacobsmeyer said Wednesday that the company would terminate its contract with the country’s largest Medicare...
View ArticleMedicare Advantage Plans’ In-Home Health Assessments Remain Under Fire
Last week, UnitedHealth Group (NYSE: UNH) defended its utilization of in-home health assessments, which are visits used widely by Medicare Advantage (MA) plans looking to fill gaps in patient care....
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Medicare Advantage Home Health Utilization Lags Behind Traditional Medicare
Yet another study suggests that Medicare Advantage (MA) beneficiaries have less access to quality home health services. In a study comparing traditional Medicare beneficiaries and MA beneficiaries in...
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Home-Based Care Giants Gamble On ‘Bold’ M&A, Revamped Payer Strategies
This article is a part of your HHCN+ Membership There are certain headwinds affecting all home-based care providers right now, whether it be in payment, staffing or otherwise. Amid those challenges,...
View ArticleA ‘Predictor Of Poor Outcomes’: Recognizing Homebound Seniors In Medicare...
When examining a Medicare Advantage (MA) plan population, researchers found that there’s a substantial prevalence of homebound individuals. As part of the study, Dr. Bruce Leff and his study...
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Why Home Health Providers Need To ‘Mature’ Before They’re Paid Fairly
This article is a part of your HHCN+ Membership Home-based care leaders are gaining some gusto. They are at the helm of the organizations that should, theoretically, be the beneficiaries of an...
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‘Opportunity Is Still Out There’: AI, Regional Payers And The Other Factors...
This article is a part of your HHCN+ Membership Top home health leaders maintain that they’re operating in a space filled with “tons of opportunity.” Payment uncertainty and other contemporary...
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