McKnight's March 5, 2024
Medicare Advantage’s use of cost-reducing tools such as copays, prior authorizations and restricted provider networks may be preventing home healthcare providers from delivering higher-quality care, according to one home healthcare leader.
“We’ve seen copays with Medicare Advantage [and] $50 per visit is going to deter people from taking necessary care,” William Dombi, president of the National Association for Home Care & Hospice, said in an interview with McKnight’s Home Care Daily Pulse. “The prior authorization system is going to discourage home health agencies and the attending physician from going to the mat and spending a lot of time, only to get a patient on service who’s going to cost them more money than they’re going to get paid.”
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