Medicare Home Health: Enhabit Projects Growth Under Proposed Rule

Enhabit Poised for Growth⁤ as Medicare‍ Advantage Penetration Increases & Payment Landscape Shifts

Enhabit Home Health & Hospice is strategically positioning itself for notable growth, fueled by the increasing popularity of Medicare Advantage (MA) plans and a proactive approach to payer negotiations.as more‍ beneficiaries ‍opt for MA, securing favorable contracts with ⁢these⁤ plans is becoming paramount for home health agencies⁢ – and Enhabit⁤ is delivering.

Navigating ⁤the Medicare Advantage Landscape

The company has spent the last two⁤ and a half years diligently ⁢negotiating contracts with⁢ MA plans ⁣to ensure ‍fair reimbursement for the vital services they⁣ provide. This effort is already yielding positive results, driving both growth and improved revenue per ‍visit, particularly outside of conventional Medicare.

“To be considered a full-service provider to our referral sources, we‍ must be able to ⁢accept the majority of payers,” explains Barb Jacobsmeyer, ⁤EnhabitS outgoing CEO. “This has been about securing contracts that pay us fairly for the services we provide, and we’re seeing the results of that.”

Currently, Enhabit operates⁢ 249 home health locations and 114 hospice locations across 34 states. Jacobsmeyer will be stepping down in July ‍2026, or upon the ‍appointment of her successor, leaving⁣ a company well-positioned ‍for continued success.

Rising Hospital Acuity Drives Demand ⁣for ⁣Home Care

The demand for home-based care is also increasing alongside rising hospital⁢ acuity rates. MA plans ofen favor ⁤home care over more⁤ expensive options like inpatient rehabilitation or skilled nursing facilities.⁤

This creates a critical opportunity for agencies like Enhabit.

* Increased Patient Flow: Hospitals are⁤ seeking efficient⁤ discharge options for MA patients.
* Cost-Effective Care: Home health provides a more affordable ⁤option to institutional settings.
* Timely intervention: ⁤ Prompt initiation of care is crucial⁢ for‍ positive patient outcomes.

“There are many patients on‍ the hospital side ⁤of‍ MA that⁣ need to be moved out,” Jacobsmeyer ⁢emphasizes. “We need to educate ⁢discharge planners that we want all ⁣ patients, not just some, because⁤ that impacts our‍ ability to provide quality care.”

strategic Payer Negotiations: Walking Away to Win

Enhabit has demonstrated a willingness to prioritize value over⁢ volume, even if it means temporarily sacrificing census. In 2024, the company strategically walked away from ⁣contracts with several MA payers when negotiations stalled.

This⁣ bold move,while initially causing a dip in patient numbers,ultimately⁢ led to a double-digit ⁣percentage increase in payments from one major payer. This highlights a key principle:

* ⁣ Value-Based contracting: Prioritizing contracts that reflect the true cost‍ and⁣ value of ⁢home health services.
* Discipline in‍ Negotiations: ⁢ Being prepared to walk away from unfavorable terms.
* ⁢ Long-Term Sustainability: Focusing on financial health to ensure continued⁣ quality ⁤of care.

Looking ahead: A Strong Foundation for ‍the‍ Future

Jacobsmeyer believes her successor will inherit a⁢ company with a significant competitive advantage. enhabit’s focus on clinical excellence and its ability to attract and retain skilled clinicians will be ⁢key differentiators.

“We are in a position to differentiate ourselves⁢ from a clinical ‍experience,” ⁣she states.⁣ “If we can pull more clinicians,we’re going to ⁢pull‍ more market share. There’s a lot of opportunity for⁣ Enhabit as ⁢we look to the future.”

The company is optimistic about the potential impact ⁤of proposed changes‍ to the ⁤Medicare home health payment rule, which could ⁤further unlock growth opportunities. By continuing to prioritize strategic payer relationships, clinical ⁣quality, and a commitment to timely care, Enhabit is well-prepared to thrive in the ‍evolving home health landscape.


Original source: https://homehealthcarenews.com/2025/09/enhabit-forecasts-growth-opportunities-if-medicare-home-health-payment-rule-goes-through-as-proposed/

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