Home Health Care News August 13, 2024
Andrew Donlan

Last week, UnitedHealth Group (NYSE: UNH) defended its utilization of in-home health assessments, which are visits used widely by Medicare Advantage (MA) plans looking to fill gaps in patient care. Detractors of this type in-home visit have suggested that plans use them to up risk scores for MA members, which helps maximize reimbursement.

In July, a study published in Health Affairs argued that these in-home health risk assessments increase coding intensity in MA, which, in turn, leads to higher payments from the Centers for Medicare & Medicaid Services (CMS).

Then, earlier this month, the Wall Street Journal published a story criticizing the financial gains UnitedHealth Group specifically has derived from these in-home visits.

UnitedHealth Group responded, arguing that these in-home...

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Topics: Insurance, Medicare Advantage, Post-Acute Care, Provider
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