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Hi folks Steven hurricane here it's Sunday night which means it's time now for today's episode with the hurricane I want to take a moment answer a question from one of my followers who basically submitted this question to me just last night as a matter of fact, and she raised how does a non-medical non-certified provider compete or gain leverage versus a certified provider and then the second part of the question is do they always have to play second fiddle, so the first part is I want to just make sure every understands the difference between non-medical non-certified and then medical or whatever I consider a non-medical equals private duty which means that people are paying out-of-pocket they are using credit cards they, so many times have a Medicaid Waiver they have a long-term care insurance policy, but there's some kind of payer source it's not their Medicare Medicaid not their regular payer source and then the medical eagles' insurance so people who have medical this would be your home health providers your VIA's of the world of the visiting nurse services so on and so forth now the reason why I like to do is differentiating is these two agencies we work with both alright they really don't compete with one another when somebody has the medical home health and the insurance is paying for it that's part of their benefit somebody goes to the hospital they're going to need extra help Medicare insurances are going to for X amount of hours a week usually is between six and eight hours a week of care nurse therapist that comes out to the house giving that skilled care the private Duty laps around this benefit and provides the extra custodial care or care with activities of daily living that this doesn't cover to further help keep someone home so how did they compete with each other they really don't compete with each other as a matter of fact I encourage the home health companies to work with the private duty and vice versa because the home health companies they're trying to reduce the readmissions we only know the readmission rate is 19.3% give or take right that's because of the home health that's because they're doing what they're supposed to do which keeps almost a little more than 80 percent of the people at home safely that's great that's what we want to have four out of five people stay home however to get that other person to be able to remain home safely they're going to need more than what Medicare and insurance covers that is where the private duty comes in all right the private duty can provide help every day four or five hours 24/7 live-in care whatever's needed to help keep that person home which will further drive this rate down to maybe ten percent five percent which is much lower if they have a lower readmission rate of this will basically make it so that they can go to the hospital's go to the physicians go to all the places that they get business from and get more because they have the lowest readmission rate that's how they...
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