Home Health Care News November 21, 2024
Andrew Donlan

Medicare Advantage (MA) companies have faced an unfavorable rate and regulatory environment over the last couple of years. That has given home health providers hope that MA penetration may cool off. It also has given them a bit more leverage in negotiations.

Plans will see a 0.16% decrease to core payments in 2025, a second-straight unfavorable rate update. Some of the largest MA administrators – such as Humana Inc. (NYSE: HUM) and UnitedHealth Group (NYSE: UNH) – will also see a reduction in star ratings across their networks, though both are fighting to undue those reductions.

With the Centers for Medicare & Medicaid Services (CMS) reducing home health payment rates in traditional Medicare, providers have been banking on an MA...

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Topics: Insurance, Medicare Advantage, Post-Acute Care, Provider
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