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…

Members of Congress ask CMS to Eliminate Behavioral Rate Cut in PDGM

Senator Susan Collins (R-ME) and Rep. Vern Buchanan (R-FL)  have sent two separate letters to Administrator Seema Verma, asking the Centers for Medicare and Medicaid Services (CMS) to consider eliminating the behavioral assumption rate cut currently included in the Patient Driven Grouping Model (PDGM).  As part of the PDGM payment model, CMS included a 4.36…

Members of Congress Ask CMS to Stop Home Health Cuts Based on Behavioral Assumptions

GO HERE to stop home health payment cuts! A bipartisan group of U.S. Senators and members of the House of Representatives, including Senators Susan Collins (R-ME), Debbie Stabenow (D-MI), and Reps. Terri Sewell (D-AL-7) and Vern Buchanan (R-FL-16), have written to Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma to ask her to…

Legislation to Stop Home Health Rate Cuts Introduced in Congress

STOP THE PROPOSED CMS HOME HEALTH RATE CUT! A bill just introduced in the House of Representatives would eliminate the Centers for Medicare and Medicaid Services’ (CMS) ability to reduce reimbursement rates for home health care. The Bipartisan Budget Act (BBA) of February 2018 authorized CMS to make rate adjustments on the basis of assumptions…