Home Health Care News June 17, 2024
Andrew Donlan

The Medicaid Access Rule has been heralded by home care providers as a mostly good rule with one misguided piece: the 80-20 provision. And while that provision’s potential impact has been discussed ad nauseam, one area that hasn’t been considered as much is the effect it will have on private-pay home care providers.

Billing rates have already soared in private-pay home care since the COVID-19 pandemic, which has forced providers to get creative.

Some have decided to take on more payer sources like Medicaid and Medicare Advantage, some have looked to drive efficiencies to keep private-pay costs down, and others have decided to tailor their business to the most wealthy. Many have also taken shades of each strategy.

The 80-20...

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Topics: Insurance, Medicaid, Post-Acute Care, Provider
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