Payer Relations Council sets agenda

Thursday, September 5, 2019

WASHINGTON – AAHomecare’s new Payer Relations Council met for the first time in Arlington, Va., last week, to establish objectives for 2020, including educating the payer community on the value of HME. “There is a great opportunity for the HME sector to help lead efforts to deliver comprehensive quality care, while achieving overall cost savings across the healthcare continuum,” the association stated. “The council will spearhead efforts to educate payers, policymakers, providers, vendors and patients on the value of HME and develop compelling and consistent messaging to support that work.” The council’s 25 members also identified as objectives: expanding on recent success in managed care rate protection in Kentucky; focusing initially on Medicaid and MCO plans; establishing and leveraging what can be achieved at the national level vs. state-by-state; and evaluating what is required by Medicare Advantage plans and educating the provider community to hold these plans accountable. “As reimbursement in our industry continues to become increasingly complex, it is imperative that providers have a resource to help them navigate these new payment models and vast bureaucracies,” said Jason Morin, director of reimbursement for Home Care Specialists, and a member of the council.