Posted on Monday, January 13, 2020 12:41 PM
Home care and hospice providers are reporting to NAHC that they are having challenges working with the Veterans Health Administration (VA) since their switch from TriWest to Optum.
The providers detail numerous administrative steps that once completed successfully have not let to a successful outcome. These steps consist of credentialing, service and rate negotiation through a contractual agreement, and being “loaded” into the VA software system.
“Reports to NAHC indicate that upon completion of credentialing and the contractual agreement, providers are not being loaded into the VA’s software. Predictable results have been realized: physicians are not able to refer to providers they trust, and patients are not receiving the care they need. In situations where care commenced under TriWest’s oversight and continued under Optum, providers are being forced to decide between discharging a patient in need of care or providing that care with no guarantee of payment.”
NAHC brought these concerns to congressional leadership and they are working to address these issues as quickly as they can.
Source: NAHC Report
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