New York’s Mountain Valley Hospice Launches Palliative Care Business

New York state-based Mountain Valley Hospice has launched a community-based palliative care program that extends throughout its four-county service region. Accordingly, the organization has rebranded as Mountain Valley Hospice & Palliative Care. A growing number of hospices have been diversifying their services to engage patients further upstream and open new revenue streams. Palliative care is […]

Education for Health Plans a Key to Success in MA Hospice Carve-In

The learning curve for carving hospice into Medicare Advantage through the value-based insurance design model is a two-way street. While providers have had to learn how to work within a managed care environment and negotiate contracts with private payers, many Medicare Advantage health plans have a lot to learn about hospices. For the past couple […]

Hospice M&A Riding High on Demographic Tailwinds, but Staff Shortages Threaten Growth

The hospice mergers and acquisitions market has been burgeoning for the last several years and continues to accelerate. Hospice leads the health care sector in terms of investor interest and valuations, but providers may hit some walls if workforce shortages worsen. Among the driving forces behind this continued acceleration include demographic tailwinds, rising demand and […]

Diamond Named Humana’s CFO, Home Business President

Humana (NYSE: HUM) has named Susan Diamond as the insurance company’s CFO as well as segment president of its home-based care business. Diamond has been in the role on an interim basis since previous CFO Brian Kane stepped down in March.  During the interim period, Diamond spearheaded the acquisition of the remaining 60% stake in […]

Humana Set to Make Bank on Kindred at Home Hospice Spin Off, Sale

Following the close of the Kindred at Home acquisition in the third quarter, Humana Inc. (NYSE: HUM) plans to spin off and sell the company’s hospice business to capitalize on high market valuations. The company also expects to see substantial cost savings through reduced hospitalizations and skilled nursing admissions as more care moves into the […]

Humana Approved as Direct Contracting Entity, Plans to Partner with Hospices

The U.S. Centers for Medicare & Medicaid Services (CMS) has approved Humana Inc. (NYSE: HUM) to become a direct contracting entity (DCE). The company has branded the DCE as Humana Direct Contracting Entity, Inc., which operates as Humana Care Solutions. The new DCE plans to partner with hospice and palliative care providers to improve quality […]

Humana Obtains Full Ownership of Kindred at Home in $8.1 Billion Deal

Insurance giant Humana Inc. (NYSE: HUM) has penned a definitive agreement to acquire the remaining 60% stake in Kindred at Home for $8.1 billion. Humana, which currently holds 40% ownership of the business, is purchasing the additional stake from the private equity firms TPG Capital and Welsh, Carson, Anderson & Stowe.  The $8.1 billion price […]

Humana Begins Medicare Advantage Hospice Coverage in Five Markets

Humana Inc. (NYSE: HUM) is diving into the value-based insurance design demonstration — or Medicare Advantage hospice carve-in — beginning in five markets: Atlanta, Cleveland, Denver, the Louisville, Ky., metro area (including southern Indiana), and the Richmond-Tidewater region of Virginia.  Among the nine insurance companies that will participate in the Medicare Advantage carve-in during the […]

Humana the Most Prominent Payer in the Medicare Advantage Hospice Carve-In

Among the nine insurance companies that will participate in the Medicare Advantage carve-in during the program’s first year in 2021, Humana, Inc. (NYSE: HUM) operates the most plans that will offer hospice.  The carve-in, formally known as the hospice component of the value-based insurance design (VBID) model, is designed to assess payer and provider performance […]