|
At Amedisys, Patient Care Comes First.
Taking care of our aging, sick population is one of our country's biggest challenges. We are part of the solution for bringing quality, affordable health care.
Every day, our clinicians visit 20,000 patients in their homes, in 37 states, to help manage their chronic illnesses.
Our average patient is 82 years old and has to manage taking 13 medications daily…
…and is too sick to leave the home without the help of a caregiver.
That is why Amedisys is a patient-centered company, focused upon providing the sick our very best care. In addition to providing quality care for our patients, we have worked extremely hard to create an effective and comprehensive compliance program.
Outlier Statistics Comparison
Senator Charles E. Grassley's office released a report on Friday March 13, 2009, prepared by the Government Accounting Office ("GAO"), entitled "Improvements Needed to Address Improper Payments in Home Health." Among other things, the GAO report discusses outlier payments that home health agencies collect from Medicare, which are additional payments made with respect to patients who receive particularly lengthy and expensive care. In Table 5 of Appendix I of its report, the GAO lists outlier cases for 2006 in the various states, expressed as a percentage of total completed Medicare episodes. The national average for outlier payments for 2006 according to the GAO was 4%. In her response letter to the GAO, Acting Administrator of the Centers for Medicare & Medicaid Services Charlene Frizzera states that the national average outlier payment in 2007 was 6%.
Amedisys' outlier statistics are considerably lower than these national averages. Set forth below is a table that compares the outlier statistics cited in the GAO report with the most recently available Amedisys outlier statistics, for the various states in which Amedisys has operations.
| |
GAO Report for year ended 2006 |
Amedisys Results for the year ended
2008 |
| State |
Outliers as % of Completed Medicare
Episodes |
Outliers as % of Completed Medicare
Episodes |
| Alabama
|
1% |
0.2% |
| Alaska
|
2% |
- |
| Arizona
|
2% |
0.2% |
| Arkansas
|
3% |
2.7% |
| California
|
7% |
0.4% |
| Colorado
|
4% |
- |
| Connecticut
|
5% |
0.7% |
| Delaware
|
2% |
0.2% |
| Florida
|
12% |
2.3% |
| Georgia
|
2% |
2.8% |
| Idaho
|
3% |
0.5% |
| Illinois
|
1% |
0.1% |
| Indiana
|
2% |
1.0% |
| Kansas
|
3% |
1.4% |
| Kentucky
|
2% |
0.5% |
| Louisiana
|
2% |
0.7% |
| Maryland
|
1% |
0.1% |
| Massachusetts
|
4% |
0.5% |
| Michigan
|
1% |
- |
| Mississippi
|
0% |
0.1% |
| Missouri
|
2% |
0.5% |
| New Hampshire
|
3% |
0.6% |
| New Mexico |
2% |
- |
| New York
|
7% |
6.5% |
| North Carolina
|
2% |
0.3% |
| Ohio
|
3% |
0.3% |
| Oklahoma
|
4% |
3.2% |
| Oregon
|
1% |
0.2% |
| Pennsylvania
|
2% |
0.3% |
| Rhode Island
|
3% |
1.0% |
| South Carolina
|
1% |
0.2% |
| Tennessee
|
2% |
0.9% |
| Texas
|
6% |
2.2% |
| Virginia
|
2% |
0.7% |
| Washington
|
1% |
- |
| West Virginia
|
1% |
0.2% |
| Wyoming
|
3% |
0.4% |
| Washington
DC
|
2% |
- |
| Puerto
Rico |
NA |
- |
| Total National
Average |
4% |
1.3% |
Amedisys believes its comprehensive clinical and compliance programs, coupled with its best-in-class technology, permit it to provide patients the highest quality of care in accordance with all applicable legal requirements.
|
