Public Policy and You Third-Party Payers Article
Article  |   December 01, 1999
Public Policy and You
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The Power of One: Clinical Practice in Neurogenics
Article   |   December 01, 1999
Public Policy and You
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, December 1999, Vol. 9, 27-28. doi:10.1044/nnsld9.5.27
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, December 1999, Vol. 9, 27-28. doi:10.1044/nnsld9.5.27
Traditionally, the majority of reimbursement for rehabilitation services for patients with neuro-genic communication disorders has been provided by third-party payers. Medicare has set the payer standards for over 20 years. The impact of this monopsony has been felt at all work settings since the Medicare fee schedule and the prospective payment systems were implemented. Rates for most of the services provided by speech-language pathologists to adult patients with aphasia have been drastically reduced not only for Medicare patients, but for all patients receiving services paid for by insurance providers. The managed care trend had already reduced or eliminated payment for these services by a number of private pay insurance providers. Medicare is regulated at the federal level and thus has been the main focus of the ASHA’s legislative efforts to restore reimbursement levels for speech-language pathologist services for adults with neurogenic communication disorders.
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