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The Advantages to Home Care for Insurance Companies
Many Medicare beneficiaries elect HMOs or other private insurance and the HMO receives a specific amount of money per beneficiary depending on their clinical conditions. Studies have shown that only 10% of Medicare beneficiaries consume at least 60% of the total costs, primarily through many trips to the hospital and ER.
Home Physicians works with HMOs on their high cost members, many of which have multiple chronic conditions. They are often either non-compliant to regular visits to their primary care physicians or have significant issues making it to their offices. That is why there are so many advantages to home care.
Through regular home visits and careful care coordination, we can improve their stability, decrease ER/hospitalizations, and more accurately identify for ICD9 codes which impact their Medicare Rate Adjustments (MRA’s). In some cases, we have designed customized programs for chronic diseases like COPD or CHF.
Our investments in information technology enable us to provide better care and communication. The implementation of electronic medical records creates typed visit documentation, up-to-date prescription drug records, and more accuracy on ICD9 codes. All visit documentation, physician orders, and prescription changes are sent to appropriate medical professionals.
By focusing on the high cost beneficiaries, we can improve member satisfaction, stabilize patient health, lower overall costs, and accurately identify ICD9 coding. Contact us today for more information on the variety of advantages to home care.