Becker's Healthcare July 15, 2019
Ayla Ellison

CMS released its proposed Home Health Prospective Payment System rule for 2020, which would increase home health payments and remove one quality measure from the Home Health Quality Reporting Program.

Seven takeaways from the proposed rule:

1. Under the proposed rule, net home health payments would increase by 1.3 percent, or $250 million, in 2020.

2. The proposed rule sets forth the implementation of the Patient-Driven Groupings Model, a new case-mix methodology that was finalized last year.

3. CMS will stop using the number of therapy visits provided to determine home health payments in 2020. Instead, CMS will implement the Patient-Driven Groupings Model, which will reimburse home health agencies based on patient characteristics rather than the volume of therapy visits.

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Topics: CMS, Govt Agencies, Insurance, Medicare, Post-Acute Care, Provider
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