Home-Based Care Providers Are Learning When to Walk Away from Medicare Advantage Contracts

Posted January 27, 2023

Home-based care providers are making the difficult choice to walk away from non-profitable MA plans when the plans payment rate does not cover the providers cost.  Many firms have asked the MA provider for a rate increase, those requests either fall on deaf ears or are met with a new rate that only covers the salary of the aide.

“In that negotiation process, they did come back to us and say, ‘Well, we really value you as a provider, so we’ll give you …’ basically enough to keep us on the hook,” she said. “It was an extremely difficult decision for us because it was a market that we had been in for a very long time — referral sources that depended on us, patients that depended on us.”

It comes down to becoming a smaller business with profits versus continuing to take on these patients on a large scale while losing money.

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