CMS Proposes 2018 & 2019 Payment Changes for Medicare Home Health Agencies
To Our Valued Careficient Clients:
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on July 25, 2017, that would update payment rates and the wage index for home health agencies (HHAs) serving Medicare beneficiaries in 2018 and proposes a redesign of the payment system in 2019.
Under the proposed rule the Home Health Payment Update percentage would change to 1% if the required quality data is submitted. This proposed rule also includes refining the HH PPS case-mix adjustment methodology which includes a change in the unit of payment from 60-day episodes to 30-day episodes which will create a more responsive home health payment system to meet patients’ needs. This would be implemented for periods beginning on or after January 1, 2019. Additionally, the proposed rule includes proposals for the Home Health Value-Based Purchasing Model and the Home Health Quality Reporting Program.
The proposed rule and the Request for Information can be downloaded from the Federal Register at: https://www.federalregister.gov/public-inspection.
For a fact sheet on the proposed rule, please visit: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-07-25.html.
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HomeHealthPPS/index.html and https://www.cms.gov/center/provider-Type/home-Health-Agency-HHA-Center.html.
For additional information about the Home Health Value-Based Purchasing Model, visit https://innovation.cms.gov/initiatives/home-health-value-based-purchasing-model.
The Team at Careficient, Inc.