As the snow falls in the nation’s capitol, home health companies decend on Congress to inform them of issues affecting patients and those who administer care in the home. Yesterday, Caring Home Care hits the hill to speak with Congress, especially the Florida delegation about the issues from changes in the status of aides, rebasing of budgets, the requirement for patients to meet face to face with doctors to getting home care and more.
Caring Home Care is a leader in political engagement, understanding that we are standing for our aides, patients and community.
This event will continue through the week, and when finished, home care employees and business will have met with 80 of the US House and 100 % of the US Senate.
Recently, SurfMed joined other Durable Medical Equipment (DME) Providers in Tallahassee, Florida to meet with the Director of Medicaid at the Agency for Health Care Administration. The main topic was the lack of effort assuring proper implementation of the Any Willing Provider provision of the Statewide Medicaid Managed Care program.
The Any Willing Provider provision, or AWP, was crafted into the sweeping Medicaid reform law because it was revealed in other states, where Medicaid programs were handed over to private companies, that DME monopolies were quickly created that forced 80 to 90 % of all DME providers out of business. Most important, patient choice was stifled at the expense of quality care.
With a clear negative history for DME under managed care, AWP required all Managed Care Organizations (MCOs) to contract with every qualified DME provider in the state who agrees to meet the lowest negotiated price. Currently MCOs have contracted with third party administrators that are not contracting with everyone and those trying to contract are throwing out unrealistic prices in order to drive market share to their in-house companies, which is a violation of the legislative intent.
We are proud to always stand for the law and what is right in health care. If you have an issue Medicaid, please give SurfMed a call and we will try to help.SurfMed, a sister company of Caring Home Care, has been concerned about this for some time and came together with other like-minded small DME companies to provide AHCA with examples of violations.