NHIA to payers: Establish distinct specialty networks
By HME News Staff
Updated 12:34 PM CST, Tue January 31, 2023
ALEXANDRIA, Va. - The National Home Infusion Association (NHIA) has developed recommendations for commercial, Medicaid and Medicare Advantage payers to reduce administrative burdens and remove barriers to accessing certain infusion services. Among NHIA’s eight recommendations, the association encourages payers to establish distinct specialty networks of locally based, full-service infusion providers to offer infused and HCP-administered medications, which will reduce delays in treatment, improve adherence, and minimize waste. “NHIA appreciates the receptiveness from payors to suggestions for how infusion providers can better support health plans and their beneficiaries,” said Connie Sullivan, NHIA’s president and CEO. “Many health plans already recognize the value of outpatient and home-based infusion therapy, and we look forward to ongoing collaboration with payors to further align infusion contracts with the patient care capabilities of our members.” NHIA also recommends payers add codes for placing and managing vascular access devices (VAD), which can help to avoid or shorten hospital stays and minimize emergency room utilization. Most home infusion contracts lack coverage for VAD device insertions despite the fact that many providers can offer this service. Read all of the recommendations here.
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