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Exploring Home Health Care’s ‘Convener Problem’

With regards to cost, there are typically two points which can be drawing the ire of house well being suppliers of late: the Facilities for Medicare & Medicaid Providers’ (CMS) proposed rule for CY 2023 and subpar Medicare Benefit (MA) charges. 

A 3rd one has been added to that checklist: the position of conveners.

As with most points in house well being care, it bubbled under the floor for some time, then somebody lastly mentioned it aloud. Now, it’s shaped considerably of a motion.

It began with LHC Group Inc. (Nasdaq: LHCG) CEO Keith Myers on the primary day of Nationwide Affiliation for Dwelling Care & Hospice’s (NAHC) Monetary Administration Convention. He identified that he thinks conveners – or “middlemen” – are the true downside within the MA-home well being supplier relationship.

Two days later, a house well being operator posed a query to a panel of specialists: “These intermediaries, these corporations that inform managed care how to save cash by denying care, after which take a layer of the income for that service – are they not worse for us than the Medicare Benefit plans themselves?”

There was a pause.

“Is {that a} rhetorical query?” one knowledgeable responded.

Since then, I’ve spoken with each house well being operators and conveners to get a greater thought on simply how pervasive this convener concern is in house well being care. And that’s the subject of right this moment’s members-only, unique HHCN+ Replace.

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