Mynexus Case Study

Decent Essays
MyNEXUS has taken over managing the home health network in the state of GA for BCBS. The management of the authorization/case management was taken over by myNEXUS in June of this year. myNEXUS is currently moving all providers over to a new myNEXUS contract. The table shows our current HH rates, our proposed rates to myNEXUS and their counter. As, you can see their counter increases the rates for BCBS Commercial patients, however the counter from myNEXUS decreases the rates we will receive for Medicare patients and which is the bulk of our BCBS patients .

We are going to hold firm at 100% of the Medicare equivalent per visit rate and ask for a yearly cost of living increase as well. I want to make sure everyone is aware that if myNEXUS

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