Payers Want Services Out Of Hospital

Health plan payers are looking to have medical services performed out side of the hospital setting.  Public (Medicare and Medicaid) and private health insurance plans encourage doctors to treat patients in the lowest cost, clinically appropriate setting. 

Payment policy will reflect reimbursement rates based on the resources needed.  This is equalizing reimbursement rates for similar care services across locations.

In the past Physicians established provider based clinics within the hospital walls and delivered services coded as outpatient.  Moving the service delivery from the stand alone Doctors office to rental space within the hospital setting resulted in an increase of up to 90% more. 

Public and private payers have recommended policy that would result in an equal reimbursement for a similar service regardless of it being performed in the stand alone Doctors office or in the outpatient hospital space.  Equalizing payments across settings is expected to move more service through the private standing Doctor's office.

This is health payers informing legislative representatives of safe strategies to reduce health care expenditures.   Home Care Path www.homecarepath.com and Wisconsin's PATH ALONG model encourages seniors to follow this initiative as it unfolds.

Wisconsin's PATH ALONG model helps seniors during the hospital stay and with outpatient treatment visits.  PATH ALONG is a strong arm of Home Care Path a community based organization commited to performing a service that supports the changing needs of an aging population.  You are cordially invited to download your free PATH ALONG App today

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