Thursday, December 12, 2019

With Aspire Deal, Anthem's The Latest Insurer To Seek Medicare's Sickest Patients


Bruce Japsen Senior Contributor May 25, 2018, 08:01am
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Anthem’s acquisition of palliative care provider Aspire Health is the latest effort by the health insurance industry to tap further into the management of serious advanced illness and end of life care, particularly for seniors in Medicare Advantage plans.
Last month, Humana said it is buying a 40% stake in hospice provider Curo Health Services as part of a $1.4 billon acquisition by the insurer and private equity firms TPG Capital and Welsh, Carson, Anderson & Stowe. And earlier this week, Anthem said it would buy Aspire for an undisclosed amount, saying the addition would bring the insurer’s enrollees “a unique model that provides palliative care and support services for patients and their families.” Anthem operates Blue Cross and Blue Shield plans in 14 states.
Health insurers see acquisitions of providers of advanced care as fitting the growth in seniors selecting Medicare Advantage plans that are a big revenue source for Humana, Anthem, Aetna, Cigna, UnitedHealth Group and other insurers.
If health insurers can better manage the care of the sickest of patients, there’s a financial reward awaiting them because that’s where the costs can be the greatest.
“Better management of the sickest patients is where the biggest opportunity is,” L.E.K. Consulting’s Bill Frack said. “With risk-adjusted revenue, Medicare Advantage pays plans a lot more money to manage those members.”
Insurers are establishing closer ties to medical care providers and buying up doctor practices and outpatient facilities at an unprecedented pace in hopes they can then better coordinate medical care than the traditional fee-for-service Medicare program.

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