A Healthesystems publication

Fall 2013

Bringing Visibility to Hidden Home Health Costs

High dollar home health cases can become difficult to close or settle because of the expectations already in place with the claimant and the claimant’s family or caregivers.  Programmatic management can provide the oversight and information needed to keep a home health claim from spiraling. 

Although less than half of one percent of medically active workers’ compensation claims include home healthcare services, these costs can approach two percent of total medical costs. That is partly because cases involving extensive use of home health are often severe in nature or involve major surgery.  Healthesystems sees the majority of home health services ordered for registered nurses, licensed practical nurses, certified nursing assistants and companion care. They are ordered for a variety of tasks ranging from wound care and dressing changes to catheter care, helping patients ambulate and assisting with activities of daily living. 

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