How Does Medicare Impact Home Care Services? - TechGeek365

How Does Medicare Impact Home Care Services?

how does medicare impact home care services

Home care services are vital to keeping people with chronic medical conditions, including a large portion of the senior population, happy and living in their home or with family. Medicare is a government-run program that is often hampered by low funds, limited options, and rolls of red tape.

Get Patients Help When They Need

While Medicaid and Medicare are options for many people, these programs are littered with problems that hamper care and cut into the salaries of service providers. To get coverage for select care options, patients often face long waiting periods. These delays often come after the patients, and their families already have spent a considerable amount of time going to multiple doctor’s appointments to meet the medical requirements to secure services. In addition, most require approval from Medicaid- and Medicare-approved health care providers, which can take considerably more time to complete.

The low number of medical professionals that accept payment from government-run insurance companies means that patients often wait several weeks to see a primary care physician. Even worse, it can sometimes take months to get an appointment with a specialist. Many home care services require specialists, such as cardiologists, pulmonologists, and orthopedists.

These higher-level medical providers are more likely to order tests to confirm diagnoses and treatment needs before signing off on the government approvals. Altogether, these long lists of requirements can make it take anywhere from several weeks to a few months or longer to get an okay. Next comes the limitations to services and red tape, all of which can lead to even further delays for much-needed care.

Help Clients Eliminate Limited Services

Medicaid and Medicare are options for many people. These insurance programs are necessary for patients that fall within the income guidelines. Unfortunately, they cut a lot of vital services from patients. For example, here’s a small list of limits patients experience:

  • 24/7 non-nursing care for people with memory loss issues or other disabilities.
  • Meal delivery.
  • Homemaker services for non-nursing care patients with debilitating health circumstances.
  • Personal care for people with medical conditions.

In addition to these limits, the care providers themselves have to jump through hoops to get approved as caregivers for medicare and Medicaid patients.

Skip The Red Tape

When you find services that are covered, patients and their families often find they have to jump through several hoops to access them at home. As mentioned above, Medicaid and Medicare services come with strings attached. To receive the coverage they pay for, qualified individuals have to get approval from their primary physician and sometimes specialists.

Even after getting permission and locating a provider, services can end abruptly because of changes in legislation, funding problems, and human errors. These mistakes are costly to the providers, who are already losing money by working with the government agencies and can put patient’s lives in danger.

Get Paid What You Deserve

It’s no secret that nurses, health care providers, and other service professionals are undercut in the pay department from Medicare, Medicaid, and other government-run insurance companies. When you operate a home care business that doesn’t accept Medicare and Medicaid, you can charge and receive full payment for your services.

It’s unfortunate, but one of the reasons patients that rely on these insurance providers have long waits is because of the limited number of caregivers that are willing to work with them. Between lower pay, paperwork, and dozens of hours lost trying to secure services for clients and pay for themselves, companies have grown tired and opted out as providers.

The market for private duty home care is expanding because people know they can get faster and even better services by skipping the government-run insurance companies in the U.S. Insurers are aware of these problems, which is why most people on Medicare and Medicaid also pay for supplemental insurance plans to cover the massive gaps their primary coverage leaves them.

Private duty home care services can eliminate the wait, expand your client’s options, and cut away the red tape. Start your home care franchise today and help patients stay in the comfort of their own home or with family members and out of nursing facilities and assisted living communities.

About David: Techthusiast & Avid Traveler.

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