Trend #2: Payers Expanding Home-Based Care Models Nationally

Strategic Partnerships and Mergers Shift the Competitive Landscape

 Trends

• Payers are shifting from traditional roles as medical-cost managers and network contractors to active participants in delivering and enabling care.
• Payers pursuing the next generation managed care model through deeper integration with care delivery models.

Last June, Humana acquired One Homecare Solutions, a provider of home-based services. One Homecare Solutions has served Humana members since 2015 and has experience in risk-based contracting and has fully capitated models in place in Florida and Texas.

One Homecare Solutions’ model creates one integrated point of accountability that coordinates the needs of patients, physicians, hospitals, and health plans for home-based patient care. It currently manages a range of post-acute needs including infusion care, nursing, occupational therapy, physical therapy, and durable medical equipment services at patients’ homes, as well as appropriate site-of-care placement through its skilled nursing facility-at-home programs.