Fierce Healthcare May 12, 2022
Robert King

Medicare needs to make more home care services reimbursable for accountable care organizations to entice more providers to offer such care, a new study found.

The study, released Thursday in the American Journal of Managed Care, comes as the Biden administration has made a renewed effort to improve health equity in value-based care. But the study found major gaps in reimbursements for such services.

“Many services provided are not billable, and therefore ACO leaders are hesitant to fund expansions without strong evidence of [return on investment],” the study said. “Expanding Medicare ACO home-visit waivers to all risk-bearing ACOs and covering integrated telehealth services would improve the financial viability of these programs.”

The study found that many ACOs provide home-cased...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Home, Insurance, Medicare, Patient / Consumer, Payment Models, Post-Acute Care, Provider, Value Based
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