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The Billers’ Association for Long-Term Care is a membership community created specifically for long-term care billing professionals. This national association provides members with a resource of continuously updated tools, billing-specific education, and reimbursement and regulatory guidance. Become a member today and join your long-term care billing colleagues as you navigate the evolving world of post-acute care billing.

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Should traditional Medicare cover chronic care?

May 10, 2018
The Bottom Line

Considering adding chronic care as a benefit under traditional Medicare coverage started with the idea of adding it under Medicare Advantage (MA) for the 2019 benefits package. MA program managers presented the idea earlier this week in Washington, according to ThinkAdvisor, and although it was well-received, feedback from witnesses included a suggestion that adding the benefit shouldn’t exclude beneficiaries who receive traditional Medicare.

A number of challenges still need to be worked out before chronic care can be added to either model, however, including figuring out how to build adjustments for enrollees’ socioeconomic status into plan quality ratings.

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