Expand the services covered in a home-based setting. MHH will advocate for Medicare coverage of higher-acuity home-based services, such as emergency services, for which there is evidence of successful care delivery under private-sector models.
Retain important “Hospital without Walls” site of care flexibility to support home-based hospital services. MHH will advocate for permanent flexibility to transfer or treat patients in home-based settings, when preferred by the patient and clinically appropriate.
Ensure equal access for seniors through fair reimbursement for home-based evaluation and monitoring codes. MHH to advocate for these codes to be valued in the same manner as an E/M code in the CY 2022 Medicare Physician Fee Schedule, simultaneously advocating to address this issue on the Hill through any effort to reform or eliminate the budget neutrality requirement.
Advocate for a bundled payment model for extended care in the home. MHH to advocate for the creation of an extended care benefit that would serve as a home-based alternative for skilled nursing facility care. This model could help patients recover at home while potentially improving cost and quality outcomes.
Encourage greater flexibility for home-based care services to meet commercial and Medicare Advantage network adequacy standards. MHH will advocate for access to home-based care services for high-cost, high-need patients and explore opportunities to further advance a national conversation around increasing access to home-based care services when needed by patients. MHH will also advocate for amendments to the National Association of Insurance Commissioners model law on commercial network adequacy to allow for home to be a site of care for purposes of network adequacy.