Home infusion therapy: differences between Medicare and private insurers coverage: report to congressional requesters. (Paperback) (ISBN-13: 9781974447480)

Infusion therapydrug treatment generally administered intravenouslywas once provided strictly in hospitals. However, clinical developments and emphasis on cost containment have prompted a shift to other settings, including the home. Home infusion requires coordination among providers of drugs, equipment, and skilled nursing care, as needed. GAO was asked to review home infusion coverage policies and practices to help inform Medicare policy. In this report, GAO describes (1) coverage of home infusion therapy components under Medicare fee-for-service (FFS), (2) coverage and payment for home infusion therapy by other health insurersboth commercial plans and Medicare Advantage (MA) plans, which provide a private alternative to Medicare FFS, and (3) the utilization and quality management practices that health insurers use with home infusion therapy benefits.To do this work, GAO reviewed Medicare program statutes, regulations, policies, and benefits data. GAO also interviewed officials of five large private health insurers that offered commercial and MA plans.

Author: U. S. Government Accountability Office
ISBN-10: 1974447480
ISBN-13: 9781974447480
Publisher: Createspace Independent Publishing Platform
Language: English
Published: 08/13/2017
Pages: 38
Format: Paperback
Weight: 0.25lbs
Size: 11.02h x 8.50w x 0.08d