A common sense approach to home health care
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| Tina and Victoria are a great team who deliver for Charlestown |
Rep. Tina L. Spears and Sen. Victoria Gu are
introducing legislation to establish sustainable funding and reimbursement
rates for ambulance services to practice community paramedicine and “treatment
in place” programs.
Community paramedicine, or mobile integrated health (MIH),
allows emergency medical services agencies to proactively provide preventative
care in a patient’s home, help manage chronic conditions, conduct follow-up
visits and connect residents with the appropriate local health and social
services.
“Treatment in place” refers to when EMS providers treat a
patient outside of a hospital for a more minor medical incident that does not
require transportation to a hospital for care.
Both approaches reduce health care costs and strain on hospital and EMS
resources, but are not currently covered or reimbursed by insurance in
Rhode Island.
“Emergency medical service personnel are already providing
important community medicine in Rhode Island, preventing emergency room visits
and extended hospital stays in the process. Unfortunately, our reimbursement
system still follows the outdated payment model that assumes that ambulance
services only provide health care services during visits when they transport a
patient to the hospital,” said Representative Spears (D-Dist. 36, Charlestown,
New Shoreham, South Kingstown, Westerly).
“By reimbursing ambulance services
for the actual care they provide when treating patients in place and extending
insurance coverage for community paramedicine, we can improve the quality of
care patients receive across Rhode Island, especially in rural areas.”
Said Senator Gu (D-Dist. 38, Westerly, Charlestown, South
Kingstown), “Community paramedicine is increasingly used in rural communities
to bridge critical health care gaps caused by geographic isolation, limited
provider availability and transportation barriers. By treating patients where
they are and addressing concerns early, we can reduce emergency room visits,
lower health care costs, and improve overall outcomes. Strengthening this model
supports our EMS providers while keeping residents healthier and safer at
home.”
The bill (2026-H 7485, 2026-S 2685) would ensure that health insurance plans
reimburse ambulance services at the Medicare rate for the care they provide,
whether or not the patient is transported.
A similar version of this bill was introduced last year by
House Judiciary Chairwoman Carol Hagan McEntee, who is a cosponsor of this
year’s bill in the House. Representative Spears and Senator Gu credit
Chairwoman McEntee with bringing this issue to statewide attention.
EDITOR'S NOTE: Cathy and I are really grateful to Charlestown Ambulance and Rescue for all their help. I think it would be wonderful if they were able to provide expanded services with full and fair coverage by Medicare and insurers. It seems to be cost-effective and common sense that they should be able to do more than just transport patients to the hospital. - Will Collette