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Policy issues in physician reimbursement
Caring : National Association for Home Care Magazine
|August 6, 1994
Insights
Physician reimbursement for home care services is a growing concern, as most services are currently not covered. The Health Care Financing Administration (HCFA) is re-evaluating its policies on physician payment for home care.
Area of Science:
- Health Services Research
- Medical Economics
Background:
- Physician involvement in home care is increasing.
- Current reimbursement policies for physician home care services are inadequate.
- This creates a barrier to comprehensive patient care.
Purpose of the Study:
- To examine the current state of physician reimbursement for home care.
- To highlight the need for policy changes.
Main Methods:
- Review of existing reimbursement policies.
- Analysis of physician service utilization in home care settings.
Main Results:
- Most physician services provided during home care are not reimbursable.
- This lack of reimbursement discourages physician participation in home care.
Conclusions:
- Current reimbursement policies for home care are insufficient.
- Revising these policies is crucial to support physicians in providing home care.
- The Health Care Financing Administration (HCFA) is reconsidering its stance on physician reimbursement for home care.
Abstract:
As physicians become increasingly involved in home care, the issue of their reimbursement arises with increasing frequency and intensity. Currently most physician services for home care are not reimbursable; HCFA, however, is reconsidering.