Therapists and long-term care suppliers roundly criticized CMS’ proposal to chop reimbursement for remedy providers by 9%, which caregivers described as a “double-whammy” as they deal with the COVID-19 pandemic.
Whereas the proposed 2021 doctor payment schedule would improve the work relative worth models of the analysis and re-evaluation codes, therapists declare that it could not be sufficient to offset the across-the-board lower to accommodate that change beneath a budget-neutral framework. The reallocation of Medicare funds would profit some specialists like household practitioners and rheumatologists however cut back the cost charges for others together with sure surgeons, anesthesiologists and therapists.
Extra Medicare beneficiaries have used occupational, bodily and speech remedy, which has resulted in fewer emergency visits and hospitalizations, one bodily therapist wrote in feedback to CMS due Monday.
“Nevertheless, as a result of physicians incessantly order remedy to hold out their affected person’s rehabilitation plans of care, a 9% lower could be devastating and lead to closures of the very practices that work hand in glove with these physicians,” they wrote.
The cumulative impact of the cost reductions concerning occupational remedy assistants, a number of process funds and sequestration has already deprived practitioners in underserved areas, wrote Ruth Chase, an occupational remedy pupil at St. Catherine College.
A 9% discount in cost throughout 40% of Agile Bodily Remedy’s enterprise could be devastating, wrote Chris Reed, chief monetary officer of the Palo Alto, Calif.-based facility. Prices for medical insurance, utilities, staffing, lease, tools and provides have elevated whereas reimbursement for bodily remedy has remained stagnant for greater than 20 years, he stated.
“We’re doing extra with much less decade after decade. Continued cuts to reimbursement layered on high of elevated regulatory burdens is barely resulting in consolidation of , diminished entry to providers, and care being pushed by price discount measures, not by high quality,” he wrote.
A Medicare beneficiary wrote that bodily remedy suppliers will seemingly shut or restrict capability because of the cuts, which might gradual their restoration.
“CMS is placing my well being and the well being of different Medicare beneficiaries in danger whereas additionally inflicting detrimental hurt to the integrity of the Medicare program. I’ve severe issues that my incapacity to obtain care in a well timed method can have a compounding destructive impact on my well being and high quality of life,” they wrote.
Practitioners have been largely supportive of the proposal’s everlasting growth of telehealth providers, which might partially permit Medicare suppliers to make use of telehealth to hold out dwelling visits for analysis and administration providers and a few visits for individuals with cognitive impairments. However they urged CMS to broaden allowable telehealth providers, take away the site-of-service necessities and permit the providers for brand spanking new sufferers.
CMS additionally proposed increasing the scope of apply for nurse practitioners, physicians assistants and different non-physician clinicians to oversee diagnostic testing if state legal guidelines permit it, which caregivers typically supported.