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Rogers: PDGM’s 8% Cut ‘A Double Slap in the Face’ to Home Health Providers

Posted on Monday, October 7, 2019 12:44 AM

The Association for Home & Hospice Care of North Carolina (AHHC-NC), which is led by Tim Rogers, has been focused on the changes that are coming with PDGM.  PDGM is the priority for the AHHC-NC decisionmaker — specifically the models widely opposed behavioral adjustments, a “double slap in the face to home health providers” that could pose an 8% cut right off the bat.

Home Health Care News recently interviewed Rogers to learn about his organization’s approach to implementing PDGM. 

You recently wrote an opinion piece in The Hill highlighting your biggest PDGM concerns. What’s specifically keeping you up at night with that overhaul?

CMS continues to apply and treat home health to a double standard compared to our friends in the skilled nursing community or acute-care settings. For them to reject payment assumptions in skilled nursing but allow them in home health — to claim they must make them — is disingenuous. It’s almost hypocritical.

Right off the bat, we’re stuck with a potential 8% payment cut in 2020. At some point, there has to be fairness from CMS. But it really seems like time and time again that home health is not treated with that sense of fairness.

We all know that MedPAC has its axe to grind in home health. But we and other home health leaders meet with CMS repeatedly, we respond to their rulemaking with toons comments, yet this continues to seemingly fall on deaf years.

And we almost have 100 co-sponsorships in the House and about 25 in the Senate. That’s nothing to sneeze at. I’m talking about, of course, the legislation we’ve introduced to correct the wrongs CMS has done. “

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