WASHINGTON, D.C. (May 3, 2022)—Medicare Advantage Organizations (MAOs) sometimes delayed or denied beneficiaries access to services according to a recent Health and Human Services Office of Inspector General (OIG) report. The denials occurred even when the requests met Medicare coverage rules. MAOs also denied payments to providers for some services that met both Medicare coverage rules and MAO billing rules.
home health
HARTFORD, Conn. (May 3, 2022)—CareCentrix, a home-centered care company, has named longtime health plan executive and physician Carmella Sebastian, M.D., M.S., as chief medical officer. Sebastian most recently served as vice president of clinical operations at Oscar Health, and before that, held leadership roles at Florida Blue, Humana, and Blue Cross and Blue Shield of Northeastern Pennsylvania.
New tricks can pose a problem for old dogs
WASHINGTON, D.C. (April 28, 2022)—Home health providers participating in the Home Health Value-Based Purchasing (HHVBP) model are performing 7% better than their counterparts, according to a new report from the Center for Medicare and Medicaid Innovations (CMMI). The model covers Medicare-certified home health providers in Massachusetts, Maryland, North Carolina, Florida, Washington, Arizona, Iowa, Nebraska and Tennessee.
GREENWOOD VILLAGE, Colo. (April 28, 2022)—Homewatch CareGivers, a provider of full-service homecare, is furthering its mission to provide tailored services to communities around the country with the announcement of its collaborations with Chefs For Seniors, healthAlign acquired by The Helper Bees, Viventium and Paradigm Senior Services.
THE COLONY, TEXAS (April 28, 2022)—Anelto, a provider of remote patient monitoring (RPM) solutions, announced it has entered into a channel partnership with BioIntelliSense, Inc., a continuous health monitoring and clinical intelligence company, to integrate BioIntelliSense's FDA-cleared BioSticker and BioButton wearable medical devices and data services with Anelto's RemoteCareLive! RPM platform.
LOS ANGELES (April 28, 2022)—Heal, a provider of technology enabled, in-home care delivery, announced its development plan for a suite of key technology assets to further optimize its omni-modal solution to creating better health outcomes, treating senior patients in their homes and eliminating the pain points that primary care providers face each day.
MIAMI, (April 28, 2022)—Porter (based in Miami, Florida) announces the launch of its website and the emergence from operating the company from the early stages in stealth mode.
ATLANTA (April 28, 2022)—Sharecare, the digital health company that helps people manage all their health in one place, announced the creation of a clinical advisory board for its home health platform and network of caregivers, CareLinx by Sharecare.
Patients can receive care where they are most comfortable
OVERLAND PARK, Kan. (April 25, 2022)—WellSky, a health and community care technology company, announced plans to build upon its legacy as a transformative leader in the health care technology space by hiring a new chief growth officer to lead the next phase of the company’s evolution and expanding its footprint in the Kansas City region.
FRISCO, Texas (April 22, 2022)—Addus HomeCare Corporation, a provider of homecare services, announced that Cliff Blessing has been named the company’s new executive vice president and chief development officer, effective April 20, 2022.
OVERLAND PARK, Kan. (April 21, 2022)—Netsmart announces the addition of TheraOffice, an industry-leading practice management platform for physical therapy and rehabilitation practices to the Netsmart portfolio. This addition expands the Netsmart CareFabric platform to deliver workflows for therapy providers to better connect to all venues of healthcare.
LOUISVILLE, Ky. (April 21, 2022)—Humana Inc. today announced that it has signed a definitive agreement with private investment firm Clayton, Dubilier & Rice to divest a majority interest in the hospice and personal care divisions of Humana’s Kindred at Home subsidiary (KAH hospice). These divisions include patient-centered services for hospice, palliative, community and personal care.
PROVIDENCE, R.I. (April 21, 2022)—Intus Care, developer of a predictive analytics platform designed for geriatric health, has secured $3.1 million in growth capital.
The investment round included Preface Ventures, Jumpstart Nova, Collab Capital, Concrete Rose Capital, Brown Angel Group, Green Egg Ventures and strategic angel investor Brynn Putnam.
CARY, N.C. (April 21, 2022)—Telehealth services have expanded dramatically during the COVID-19 pandemic and are expected to remain an important part of the health care continuum. To help health care organizations validate quality in their delivery of telehealth services, the Accreditation Commission for Health Care, Inc.
WASHINGTON, D.C (April 19, 2022)—The Centers for Medicare & Medicaid Services (CMS) has issued a final rule with comment period that finalizes two remaining proposals from the original proposed rule that laid out policy and technical changes to the Medicare Advantage program, Medicare Part D, Medicaid and more. That proposed rule was originally issued in February 2020.