MedPAC Pushes for Aligning Payments, Regs, Benefits

The Medicare Payment Advisory Commission (MedPAC) recently convened for a session furthering their work on the development of a unified post-acute care prospective payment system (PAC PPS). In this most recent session, a focus was placed on the applicability of co-pays and potential requirements to access post-acute care (PAC) care via a required hospitalization. MedPAC staff…

CMS Proposes Changes to Home Health Quality Reporting Program

In the 2020 home health prospective payment system (HHPPS) rate update proposed rule, the Centers for Medicare & Medicaid Services (CMS) proposes a number changes to the Home Health Quality Reporting Program (HHQRP) for calendar year (CY) 2022. CMS proposes to eliminate one measure and add two new measures. In addition, in accord with the…

CMS to Add Publicly Reported Quality Measure for Home Health

The Centers for Medicare & Medicaid Services (CMS) has announced that the Potentially Preventable 30-Day Post-Discharge Readmissions measure is scheduled to be publicly displayed in Home Health Compare with the October 2019 refresh. This measure was originally scheduled to be added to Compare with the January 2019 refresh, but CMS decided to conduct further testing.…

MedPAC Opposes Episode-Based Payment for Post-Acute, For Now

On March 8, 2019 the Medicare Payment Advisory Commission (MedPAC) panel concluded that a unified payment system for post-acute care facilities should be based on each patient stay and not the entire episode of care. The discussion among commission members focused on how to create a unified prospective payment system to make Medicare fee-for-service payments…

Quality Measures Under Consideration

As reported in NAHC Report  on November 30, 2018 and December 10, 2018, the list of quality Measures Under Consideration (MUC) for the home health quality reporting program (HH QRP) and the hospice quality reporting program (HQRP) were  released and NAHC submitted comments concerning the two home health measures and one hospice measure.  On December…

3 Federal Departments Endorse Site-Neutral Payment, Lifting Regulations

The Departments of Health and Human Services, Labor, and Treasury endorsed site-neutral payment and lifting three regulations that limit competition in health care in a new report issued on December 3, 2018. The report, Reforming America’s Healthcare System through Choice and Competition, is in response to an executive order from President Donald Trump calling for…

Your Questions about the Looming OASIS-D Deadline Answered

Are you a home health agency director, clinical manager, quality manager, Home Health clinician, or educator? If so, NAHC has a webinar you need to see — Prepare for OASIS-D to Ensure a Successful Transition. The webinar will take place on Friday, December 14 at 1:00 PM Eastern time.The webinar is free and open only to NAHC…

NAHC has the Answers to Your Questions about the Looming OASIS-D Deadline

Are you a home health agency director, clinical manager, quality manager, Home Health clinician, or educator? If so, NAHC has a webinar you need to see — Prepare for OASIS-D to Ensure a Successful Transition. The webinar will take place on Thursday, November 8 at 1:00 PM Eastern time. The webinar is free and open…

CMS Issues Second Comment Period on OASIS-D

CMS has issued a second  Paperwork Reduction Act (PRA) notice  for the revised Outcome and Assessment Information Set (OASIS-D) that goes into effect January 2019, in accord with the changes issued in the final 2018 home health prospective payment system rate update rule. This PRA notice request is for a 30 day public comments period…

CMS to Hold Special Open Door Forum on the IMPACT Act and Standardized Patient Assessment Data Elements

The Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum on July 25, 2018 from 2:00 to 3:00 PM Eastern Time, to provide information and solicit feedback pertaining to the Standardized Patient Assessment Data Elements (SPADE) work under the Improving Medicare Post-Acute Care Transformation Act of 2014 (commonly referred to…