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In-Home Care Reimbursement and Medicare Advantage

In-Home Care Reimbursement For Seniors

There’s good news for seniors who enlist the help of caregivers and other in-home health services. In early 2018, officials announced Medicare changes that would allow in-home care reimbursement. Starting next year, Medicare Advantage will cover non-skilled in-home care services as a supplemental benefit.

According to Home Health Care News, the change”will allow supplemental benefits if they compensate for physical impairments, diminish the impact of injuries or health conditions, and/or reduce avoidable emergency room utilization.”

The focus has slowly shifted from “the high-cost, high-needs dual-eligible patient populations of people who qualify for both Medicare and Medicaid.”

Taking care and wellness beyond the doctor’s office will let seniors spend their time how they want. More will be able to age in place, which is more affordable than assisted living or nursing facilities.

“The cost and the quality of care delivered in the home are generally more efficient and effective than care provided in an institution,” says Edo Banach, CEO of the National Hospice and Palliative Care Organization.

Additionally, Medicare Advantage will cover home modifications such as wheelchair ramps, vastly improving the quality of life for many older adults.

 

What In-Home Care Reimbursement Means For Seniors

Including non-skilled in-home care in the 2019 MA plan will significantly benefit seniors. Reimbursement for caregiving services and home care services will provide more options for health management.

In-home care reimbursement reflects the growing need for these services. Relaxed restrictions will give agencies like us more flexibility when providing care.

Insurers and seniors are feeling the pressure of growing healthcare costs.  More providers are implementing coverage for in-home care to save. Removing some of the benefit restrictions will make it easier for seniors to receive those critical services.

These changes will make it easier for older adults to receive the care they need, rather than a one-size-fits-all plan. A tailored plan would include in-home services, including assistance with activities of daily living (ADLs) like bathing, dressing, meal preparation, transportation, and more.

 

MeetCaregivers

If your loved one needs a little extra care around the home, we can help. Our qualified caregivers can help with transportation, light housework, companionship, and much more. Call 1 (888) 541-1136 or contact us online.

For more resources, visit the Blog.


Sources
  • Livingston, Shelby. “Reimbursement Limitations on Home Healthcare Are Being Loosened.” Modern Healthcare, 27 Oct. 2018, www.modernhealthcare.com/article/20181027/NEWS/181029949.
  • Mullaney, Tim. “CMS Officially Adds Non-Skilled In-Home Care as Medicare Advantage Benefit.” Home Health Care News, Home Health Care News, 3 Apr. 2018, homehealthcarenews.com/2018/04/cms-officially-adds-non-skilled-in-home-care-as-medicare-advantage-benefit/.

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