Home Visit System Required for “Home

News Highlights

The second round of Q&A interpretation for the 2026 medical fee revision suggested that clinics and hospitals involved in home-based medical care will be required to strengthen their home visit systems. In particular, detailed operational guidelines for comprehensive home nursing care fees and D to P with N (pharmacist visits and medication guidance based on physician’s orders) were presented, making the restructuring of the home-based medical care provision system a focal point. This reflects the revision’s direction aimed at deepening the community-based integrated care system and streamlining the medical provision system.

M&A Medical Editorial Department’s Perspective

The strengthening of home visit systems in “home-based medical care clinics/hospitals,” as indicated in this Q&A interpretation, along with the concretization of comprehensive home nursing care fees and D to P with N, compels a redefinition of the role of medical institutions within the community-based integrated care system. For medical institutions focusing on home-based care, in particular, questions arise regarding how medical fee evaluations will change and the necessity of corresponding staffing and capital investment. For instance, the promotion of D to P with N could lead not only to enhanced collaboration with pharmacists but also to the development of information sharing systems and a reduction in physician workload. These changes go beyond mere adaptation to medical fee revisions and are directly linked to the business continuity and expansion strategies of medical institutions. To enhance their presence in the community and stabilize their management base, strengthening capabilities through M&A or expanding service provision systems through collaboration with other organizations may become more realistic options.

Points Raised by This News

• The strengthening of home-based medical care is a concrete manifestation of promoting “community-based integrated care” in medical fee revisions.
• The detailed operationalization of comprehensive home nursing care fees and D to P with N redefines the relationship between medical institutions and multidisciplinary collaboration.
• Strengthening the home visit system necessitates management strategies that consider the impact on staffing and capital investment.
• Focusing on home-based medical care may lead to future expansion of medical institutions and maintenance of regional competitiveness.

Practical Questions Arising from This News

• Does our clinic’s home visit system meet the level required by this revision?
• If we introduce D to P with N, how should we review our collaboration system with pharmacists?
• What are the specific staffing and service provision systems required to meet the calculation requirements for comprehensive home nursing care fees?

If You Feel “Should I Consult Too?”

The focus on home-based medical care in this medical fee revision indicates a trend that further emphasizes the role of medical institutions within the community-based integrated care system. It is advisable to consider whether it is possible to build a system that can meet these new demands with the current status of your institution, and whether collaboration or integration with other organizations through M&A could be an effective option for future business continuity and expansion. In particular, seeking advice from experts is beneficial if you face challenges in strengthening your regional presence or securing and developing specialized personnel.

M&A Medical (CentralMedience Inc.) supports the business succession of medical corporations, hospitals, and clinics on a full success fee basis as an M&A support institution certified by the Small and Medium Enterprise Agency. Consultations are handled with strict confidentiality. Free consultation here