Medicare Home Infusion Site of Care Act Introduced to the House of Representatives

This bill was sponsored by Elion Engel (D-NY) and Pat Tiberi (R-OH) to address the coverage gap for Medicare patients to receive infusion therapy at home. The bill was submitted to the House Energy and Commerce Committee on Sept. 10. This bill carries with it recent study results from the health policy firm Avalere indicating that Medicare could save an estimated $80 million over a 10 year period by covering home-based infusions for one treatment alone, IVIG for patients with primary immunodeficiency disorder (PIDD) anti-infective therapy alone. The full report on the savings analysis is available at NHIA.

Unlike the first bill that was introduced (Medicare Home Infusion Therapy Coverage Act) in 2009 and again in 2011, the new bill demonstrates “real savings” to Medicare. The issue previously was not that members of Congress and congressional staff felt the legislation was unimportant, but it was regarded as a cost. With the Avalere study, it can be demonstrated that home infusion can actually save Medicare money. There is renewed optimism that coverage may get approved at some point in the future.

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Prior to founding Right Way Medical, Prati held various roles with Apria Healthcare, B. Braun Medical, and Medical Technology Resources, where his final role was Sr. Vice President of Sales and Operations. During his time serving at Medical Technology Resources he was influential in assisting in its acquisition to Medical Specialties Distributor, a company that has since been acquired by McKesson in 2018.

Prati has been involved in various philanthropic organizations including The Make-A-Wish Foundation, A Kid Again, Orphan’s Promise and has served in various board and volunteer roles at Cypress Wesleyan Church (Alton Darby and Dublin campuses) and the Vineyard Church of Columbus.

Josh Prati resides in Powell, Ohio with his wife Christa and two cats, Remey and Molly. He enjoys working out, developing relationships over a home cooked meal, great wine, and is an avid Ohio State Buckeye and Pittsburgh Steeler fan.