CMS Takes Action to Modernize Medicare Home Health

On October 31, CMS finalized significant changes to the Home Health Prospective Payment
System (PPS) to strengthen and modernize Medicare. Specifically, CMS made changes to
improve access to solutions via remote patient monitoring technology, updated payments for
home health care with a new case-mix system, begin the new home infusion therapy benefit,
and reduce burden. Beginning with CY 2020, CMS is implementing changes required by law,
including a new case-mix system called the Patient-Driven Groupings Model (PDGM) that puts the focus on patient needs rather than volume of care. The PDGM relies more heavily on patient characteristics to more accurately pay for home health services. The final rule helps advance the Comprehensive Meaningful Measures Initiative. CMS is removing seven Home Health Quality Reporting Program measures. Changes in data collection under the new case-mix system, coupled with the changes from these seven measure removals will reduce burden for HHAs by approximately $60 million annually, beginning in CY 2020.

For additional information see complete rule here.


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