Support for disabled people and families with disabled children is one of the responsibilities of healthcare administrators. Assistance is provided to them in many aspects. Healthcare administrators are answerable for allocation of benefits and enrolling these people into rehabilitations programmes that would be most advantageous for them. The importance of understanding what insurance programmes these individuals have lies in the fact that successful rehabilitation largely depends on the choice made and has a direct impact on payer mix.
When offering rehabilitation programs and other healthcare benefits to people with disabilities, healthcare administrators should first of all consider the insurance that people have. While Medicare Parts A and B allow for standard medical expenses such as hospitalization or buying medication, Medicare Advantage or Medicaid covers more healthcare services than those included in A and B options (Neprash et al., 2021). However, often Medicare coverage is not enough to reimburse the money spent by a hospital on patients’ treatment (Neprash et al., 2021). That is why health administrators should aim to attract self-pay patients or those who have a private insurance to the medical services.
Self-pay patients leave enough money for the hospitable not only to cover the expenses but also to make profits. Another preferable option for healthcare administrators is to include paid services in programmes where they can be covered by private insurance programs so that healthcare facilities get money from them. It is worth remembering that some rehabilitation means such as wheelchairs or walking sticks is not included into the Medicare programs and must be paid for separately. Therefore, it would be beneficial for a hospital to provide an opportunity for the disabled to buy these facilities at hospital. It can be done through partnerships with companies that produce rehabilitation means.
Reference
Neprash, H. T., Zink, A., Sheridan, B., & Hempstead, K. (2021). The effect of Medicaid expansion on Medicaid participation, payer mix, and labor supply in primary care. Journal of Health Economics, 80, 102541.