Tag: Humana

YARMOUTH, Maine – One of the most interesting takeaways from the HME News Business Summit in Charlotte, N.C., Oct. 22-24, was just how much commercial insurers care about patient satisfaction.   Brad Heath, an executive vice president with AdaptHealth, was part of a panel at the Summit on disruptive partnerships with payers. AdaptHealth, along with Rotech Healthcare, as we all know, has a contract with Humana to provide certain home medical equipment services to its Medicare Advantage...

WASHINGTON – The Energy & Commerce Health Subcommittee in the House of Representatives has approved two HME-related bills, AAHomecare has reported.  The bills, The DMEPOS Relief Act of 2023 (H.R. 5555) and The Choices for Increased Mobility Act (H.R. 5371), will now move to the full E&C Committee for consideration in the coming weeks, the association says.   “This is a major step forward for our priority legislation in the House,” said Tom Ryan, AAHomecare president...

LOUISVILLE, Ky. – Value-based care lowers costs and keeps Medicare Advantage members healthier, according to the 10th annual Value-Based Care Report released today by Humana.  The 2023 report shows that MA patients receiving care under value-based arrangements spent more time with their primary care physician and were more likely to receive preventive care, with fewer hospitalizations.   According to the report, VBC enables:  A team-based holistic approach...

PLYMOUTH MEETING, Pa. – AdaptHealth underestimated the size and complexity of ramping up its Humana contract, resulting in a $10 million miss against expectations, company execs said on a call to discuss third quarter earnings.  “Onboarding members is taking longer than we had anticipated, resulting in a reduction to our expected revenues from Humana,” said Richard Barasch, chairman and interim CEO. “Nevertheless, we remain confident that this agreement will achieve...

We’ve burned through the first half of 2023 already and what do we have to show for it?  If the most read stories from January through June are any indication, it’s disruption, innovation and growth.  Let’s start with disruption. It has come in a number of forms in 2023, including one of the HME industry’s legacy manufacturers, Invacare, filing for bankruptcy. We posted a story about that to our website in February, and it remains the most read story of the...

YARMOUTH, Maine – HME providers say getting locked out of Medicare Advantage contracts could be one of the biggest threats they face.  Humana in mid-May announced it had awarded capitated care contracts to AdaptHealth and Rotech Healthcare to provide certain home medical equipment services to its Medicare Advantage HMO members.   “A lot of (big payers) won’t let us into the network – I think a lot of companies are experiencing that,” said Brian...

As we were putting the finishing touches on this June issue, news broke that Humana has contracted with AdaptHealth and Rotech Healthcare, two national HME providers, to provide HME products and services to its Medicare Advantage HMO members.  This is a big deal for a whole lotta reasons.  We’ve all read the headlines. Insurers are increasingly targeting Medicare Advantage plans as a source of growth. Last year, Humana outlined plans to expand its Medicare HMO offerings, specifically,...

PLYMOUTH MEETING, Pa. – AdaptHealth’s new partnership with Humana to provide home medical equipment to about 1 million Medicare Advantage HMO members could lay the groundwork for bigger things in the future, says CEO Steve Griggs.  Humana in mid-May announced it had awarded capitated care contracts to AdaptHealth and Rotech Healthcare to provide home medical equipment services to its Medicare Advantage HMO members.  “What’s exciting for us is, because it’s...

LOUISVILLE, Ky. - Humana has announced agreements with AdaptHealth and Rotech Healthcare to provide home medical equipment services to its Humana Medicare Advantage HMO members.  The two national companies will begin providing services to these members under a value-based structure beginning July 1, with each serving a specific region of the country.  “Partnering with national DME partners under a value-based arrangement aligns with our goal to enhance access to the home care...

LOUISVILLE, Ky. - Humana has announced agreements with AdaptHealth and Rotech Healthcare to provide home medical equipment services to its Humana Medicare Advantage HMO members.  The two national companies will begin providing services to these members under a value-based structure beginning July 1, with each serving a specific region of the country.  “Partnering with national DME partners under a value-based arrangement aligns with our goal to enhance access to the home care...