Investigators from Harvard Medical School Have Reported New Data on Managed Care (Hospital At Home: Paying for What It’s Worth Comment): Managed Care

2021 OCT 18 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Current study results on Managed Care have been published. According to news reporting originating from Boston, Massachusetts, by NewsRx correspondents, research stated, “On November 25, 2020, CMS announced the creation of an Acute Hospital Care at Home program to reimburse qualifying hospital-at-home models. As we increasingly adopt the Acute Hospital Care at Home program and similar home-based services, it is crucial to better define the value of these programs and their appropriate reimbursement rates.”

Our news editors obtained a quote from the research from Harvard Medical School, “We provide a framework centered around cost, quality, and equity to help accomplish this task. Quality reporting should use both inpatient-specific and home health care-specific metrics, equity-focused process metrics and risk-adjusted outcome metrics, and validated diseasespecific tools. Costs should be measured comprehensively and uniformly through the use of time-driven activity-based costing and consider caregiver opportunity costs. It is also worthwhile to consider personal, societal, technical, and allocative value when determining the value and subsequent reimbursement rates of hospital-at-home programs. With careful patient selection, the hospital-at-home model has the potential to significantly benefit a subset of patients.”

According to the news editors, the research concluded: “To create sustainable reimbursement mechanisms for hospital-at-home programs, we first need a better definition of the value provided by this model of care.”

This research has been peer-reviewed.

For more information on this research see: Hospital At Home: Paying for What It’s Worth Comment. The American Journal of Managed Care, 2021;27(9):369-371. The American Journal of Managed Care can be contacted at: Managed Care & Healthcare Communications Llc, 666 Plainsboro Rd, Ste 300, Plainsboro, NJ 08536, USA.

The news editors report that additional information may be obtained by contacting Aditya Achanta, Harvard Medical School, Dept. of Health Care Policy, Boston, MA 02115, United States. Additional authors for this research include David E. Velasquez and David C. Grabowski.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.37765/ajmc.2021.88739. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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