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Breaking News: CMS Releases Home Health Proposed Rule

Posted on Thursday, July 5, 2018 12:27 PM

The Centers for Medicare & Medicaid (CMS) released late Monday afternoon ,July 2, 2018, the proposal for 2019 payment rates as well a proposal to overhaul the home health prospective payment system and continue the shift toward value-based care. Specifically, the agency is moving forward with the Patient-Driven Groupings Model (PDGM) and floating several other changes, as well as the annual update to the Medicare rate.

Proposed 2019 changes are projected to increase Medicare payments to home health agencies by 2.1%, or $400 million. The proposed PDGM model, required by the Bipartisan Budget Act of 2018, is intended to remove current incentives to over-provide therapy services and halves the 60-day episode of care unit of payment to 30 days, according to CMS. The PDGM model would be budget neutral.

CMS will be accepting comment through Aug. 31, 2018. The full rule can be accessed here.

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