Home Health Care News July 9, 2024
In-home health risk assessments and in-home health evaluations are a key part of Medicare Advantage (MA) plans’ strategy. On one end, they help recognize member needs, and help connect those members to other health care services. On the other end, they help boost MA plan profits, quite considerably.
A recent study published in Health Affairs suggests that in-home health risk assessments increase coding intensity in MA, which leads to higher payments from the Centers for Medicare & Medicaid Services (CMS).
In-home health risk assessments help MA plans find additional diagnoses for members, which classifies them as more at-risk or complex. That, in turn, raises the dollar amount plans are paid out for that member.
“There are two unique ways in...
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