CMS Finalizes Payment Rate Update to Home Health for 2022

NAHC webinar on the CY2022 Final Rule on Friday! Free for NAHC members! Learn more! Home health payment rates increased by 2.6% CMS does not increase or decrease behavioral adjustment 432 case mix weights recalibrated using 2020 data CMS refuses to continue the 5% cap on negative wage index changes HHVBP demonstration expansion nationwide delayed…

CMS Proposes Payment Rate Update to Home Health in 2022

Proposal to expand HHVBP demonstration nationwide 4.36% behavioral adjustment remains The 2022 proposed Medicare home health rates represent a simple inflation rate update, a proposal to recalibrate the case mix weights while maintaining the Low Utilization Payment Adjustment (LUPA) threshold amounts. A scheduled phasing-out of the rural add-on, and the continuation of outlier payment standards, with…

HHVBP Continues to Show Cost Savings and Quality Home Health Care

The Centers for Medicare & Medicaid Services (CMS) has released the fourth annual report on the Home Health Value Based Purchasing (HHVBP)Demonstration, which includes data from calendar year (CY) 2019. This data will impact payment adjustments for participating home health agencies (HHAs) for CY 2021. The most notable part of the report is the cumulative savings of…

CMS Open Door Forum: Updates to Home Health Quality Reporting Program & More

On April13, 2021 The Centers for Medicare & Medicaid Services (CMS) held the Home Health, Hospice, and Durable Medical Equipment Open Door Forum. The majority of information shared with the participants pertained to hospice providers. However, several issues impacting home health agencies were also discussed. Home Health Quality Reporting Program (HHQRP) CMS announce that five…

Third Annual HHVBP Report Released

The Home Health Value Based Purchasing (HHVBP) report focuses on the experience of home health patients and agencies through 2018, the third performance year of the HHVBP Model, and the first year that agencies in the HHVBP states received a payment adjustment.  The primary goals of the evaluation are to understand how the shift in…

NAHC to CMS: Roll Back 2020 Rate Adjustment Based on Faulty Prediction of HHA Behavior

The National Association for Home Care & Hospice (NAHC) urged the Centers for Medicare & Medicaid Services (CMS) to roll back the 2020 rate adjustment CMS instituted based on a prediction of how home health agencies (HHA) would behave that has not materialized. That recommendation, and several more, are part of NAHC’s formal comments to…

CMS Issues New COVID-19 Waivers, Interim Final Rule for Home Health

The Centers for Medicare & Medicaid Services (CMS) has issued a second round of regulatory waivers in an Interim final rule with comment (IFC), with several notable flexibilities for home health agencies. NPPs and Home Health Services The IFC implements section 3708 of the CARES Act to permit nurse practitioners, physician assistants, and certified nurse…

Update: CMS Announces Quality Reporting Program Relief

As previously reported, the Centers for Medicare & Medicaid Services (CMS) announced some quality reporting program relief for providers last week.  For both home health and hospice there are some data that do not need to be submitted, and there were some outstanding questions on exactly what the relief covered.  Over this past weekend CMS…

CMS Proposes Changes to HHVBP Model

The Centers for Medicare & Medicaid Services (CMS) issued its proposed home health rule on Monday, July 2, 2018. The rule contains payment rate updates for home health agencies for calendar year (CY) 2019 and a proposal for a revised payment model, Patient Directed Grouping Model, effective in CY 2020. In addition to payment updates,…

Payment Reform a Popular Topic at FMC

The subject of payment reform and just how home health agencies will be paid in the future has rarely been a hotter topic than it is today, so it was appropriate that some of the most well-attended classes on Monday at the 2018 Financial Management Conference were directly related to payment issues. Home Health Payment…