Outpatient Facility Coding Alert - 2004 Issue 5
Home Care: Some HHAs May Be Frozen Out Of Medicare
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Article Overview
This article examines how the Medicare Prescription Drug, Improvement and Modernization Act of 2003 could reshape the home care industry by expanding Medicare managed care and altering the balance between managed care and traditional fee-for-service Medicare. It is relevant to home health agencies, Medicare policy observers, and providers tracking market access, plan participation, and legislative efforts to revise the new law. The article also notes related political responses and proposed changes to the reform measure.
Why This Topic Matters
The piece helps readers understand why Medicare policy changes outside of home care-specific provisions may still have major consequences for home health agencies, including participation patterns, patient mix, and access to Medicare business.
What You Will Learn
- How broader Medicare managed care changes may affect home health agencies
- Why plan participation patterns matter for home care providers
- What concerns are raised about the distribution of Medicare beneficiaries between managed care and fee-for-service
- How political efforts may seek to modify the Medicare reform law
Who Should Read This
- Home health agencies
- Home care providers
- Medicare compliance and reimbursement professionals
- Health policy analysts
- Healthcare attorneys
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