Fight for Home Health Care & Hospice in DC!

Wednesday, September 14 REGISTER (required) Today is the last day to sign up (registration above) to join NAHC and your fellow home care and hospice professionals who will be on Capitol Hill on Wednesday, September 14th, to advocate to Congress for some of the biggest issues facing the industry right now. Home health providers are facing…

Key Home Health Legislation Builds Support in Congress

Send a message to Congress now! Help us build even more support The Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581), a top NAHC Advocacy priority, is building momentum and adding supporters from both parties in both houses of Congress over the past week. As you probably know, this legislation would prevent the…

Private Duty Should Care About CMS Rate Cuts

  • GO HERE to tell your members of Congress to support this critical legislation!
  • Big win for NAHC Advocacy & home health providers & patients!

In June the Centers for Medicare & Medicaid Services (CMS) released their proposed rule for home health services for CY2023. As part of their proposal they called for a 7.69 percent reduction to the base payment rate in order to meet a budget neutrality requirement as part of the transition to the Patient Driven Groupings Model (PDGM). In the Balanced Budget Act of 2018 Congress set parameters for the creation of PDGM with a 30-day payment episode, removal of therapy utilization in payment determinations, and a new case-mix methodology.

That large of a payment reduction would negatively impact all provider types, as seniors would ultimately have less access to care in the home.

“We estimate that 44 percent of all home health agencies would operate at a financial loss next year of the 7.69 percent rate cut takes effect, triggering a loss a care access for the millions of people relying on home health care,” said NAHC President William A. Dombi.

“This legislation should secure continued access to care,” added Dombi. “It will also provide an extended opportunity for CMS to rethink its approach to the budget neutrality adjustment. We firmly believe that CMS has much better options to consider that do not devastate the care that millions depend on.”

The Preserving Access to Home Health Act of 2022, S. 4605/H.R. 8581, introduced in the Senate and House of Representatives in the last week of July, would freeze CMS’ proposed 7.69 percent payment rate cut for CY2023. The swift movement of this legislation is a direct result of NAHC’s advocacy efforts on behalf of the entire industry and warrants attention from the private home care industry as well.

We ask every provider, regardless of service type, to urge your Senators to sign on to it. You can send a pre-drafted message by clicking here, though calls and/or personal messages are best.

Please reach out to NAHC with any questions, comments or thoughts.

Thank you for your assistance in this effort!

Legislation to Stop Home Health Rate Cuts Introduced in House of Reps

GO HERE to tell your members of Congress to support this critical legislation! Big win for NAHC Advocacy & home health providers & patients! Legislation has been introduced in the House of Representatives to prevent cuts to the Medicare Home Health payment rate as proposed by the Centers for Medicare and Medicaid Services (CMS) in their…

NAHC Advocacy: Legislation to Stop Home Health Rate Cuts Introduced

GO HERE to tell your members of Congress to support this critical legislation! Big win for NAHC Advocacy & home health providers & patients! Legislation has been introduced in the Senate designed to prevent cuts to the Medicare Home Health payment rate as proposed by the Centers for Medicare and Medicaid Services (CMS) in their…

CMS Proposed Rule Risks Stability of Home Health Care

NAHC analysis of payment information & more The Centers for Medicare and Medicaid Services (CMS) issued its annual proposed rule regarding Medicare home health services payment rates for CY 2023. As usual, the rule also includes a hodgepodge of non-rate related proposals as well. This article provides a summary of the proposed rule. NAHC will…

Home Health Allies in Congress Tell CMS to Ensure PDGM Fairness

Two U.S. Senators and two Representatives have written a bipartisan letter to the Centers for Medicare & Medicaid Services (CMS), urging the government agency to craft a CY2023 home health payment proposed rule that ensures “payments under the Patient Driven Groupings Model (PDGM) are fair to providers and ensure patient access to high-quality care.” “A…

Supplemental Medical Review Contractor Home Health Project

In November, CMS’ Supplemental Medical Review Contractor (SMRC) posted a new project, 01-031 Home Health Notification of Medical Review. This is a post-payment review of claims for Medicare Home Health services billed on dates of service from January 1, 2020 through December 31, 2020 for bill types 032X and 034X.  Detailed specifics about the project…

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…

NAHC Encourages HHA Participation in Research Study

The National Institutes of Health is funding a research project to be conducted by the University of Washington and the University of Pittsburgh to understand how PDGM and COVID-19 has impacted  home health agency operations. The study will explore home health agency administrators’ experiences of these events through one-on-one confidential phone interviews.  The National Association for…