Home Health Care News May 29, 2024
Medicare Advantage (MA) – the offshoot of traditional Medicare that’s administered by private insurance companies – has recently caught a lot of flak.
As it pertains to home health care specifically, MA plans have been criticized for their cumbersome prior authorization requirements and provider reimbursement rates that are typically far below fee-for-service Medicare.
What’s more, MA home health patients generally have worse functional outcomes compared to traditional Medicare patients, partly because they often receive fewer visits, according to a 2024 study from the Department of Rehabilitation Medicine at University of Washington.
Similar MA grievances can be heard from beyond home health care as well.
In response to the mounting criticism, the U.S. Centers for Medicare & Medicaid Services (CMS) has...
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