‘No Contract Is Better Than A Bad One’: Home Health Providers Share Their MA Strategies

Home Health Care News | By Patrick Filbin
 
Although home health providers want to see as many patients as possible to keep up with demand, it is impossible to do so under current circumstances.
 
With that in mind, providers are questioning why they would willingly take on Medicare Advantage (MA) beneficiaries knowing they’d be sacrificing dollars. Some industry experts believe providers should, at the very least, be more aggressive in negotiating MA contracts.
 
To do that, self-evaluation and relationship-building with payers will be key.
 
“Ultimately, the provider community is going to get a lot more aggressive or it’s going to become a big issue, especially as more and more patients are doing Medicare Advantage,” McBee Associates President Mike Dordick told Home Health Care News. “Many providers that offer home health services have not pushed back on managed care providers for years. We are now at a point, with the Medicare margins being cut so deep, that the providers need to get paid a fair rate from managed care for the services they perform.”

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