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recent research brief from the Long-Term Quality Alliance emphasizes the increased need for long-term services and supports (LTSS) for Medicare beneficiaries. Currently, approximately 13% of Medicare recipients over the age of 65 require LTSS. Spending for LTSS is a driving factor behind increased Medicare spending as the costs for services on that group is almost three times of what is spent per capita on beneficiaries who do not require LTSS.
Reducing Medicare Costs
LTSS needs have been associated with high Medicare spending. It is often assumed that this high cost group with chronic conditions requiring LTSS or home care assistance is dually eligible for Medicare and Medicaid to keep costs down. However, even with dual eligibility, Medicare still spends two times more on adults that require LTSS to care for their chronic conditions. Policies that reduce healthcare spending are driving the need for innovation. Most of the focus is on the needs of the LTSS population and how care coordination can be improved regardless of how the LTSS is being paid for. This comes at a time when the need for LTSS will only continue to grow as the population continues to age and require home care ADL services.
How DCI Can Help Your Agency
DCI’s software provides your agency with the tools it needs to keep up with the continued growing demand for LTSS and ADL home care services. It allows you to remain in compliance and accurately report services provided for accurate Medicare and Medicaid billing.