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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For over 30 years, Corridor has partnered with home-based care providers, delivering powerful solutions to support the unique challenges of caring for patients in the home. Our team of operating executives, clinicians, and nationally renowned industry experts have run provider organizations and resolved the same challenges you face.
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