Information and resources on Medicare payment and policies in the home health setting. If you have questions about this information, contact email@example.com.
News and Updates
In July 2017, CMS issued a proposal to update Medicare's home health payment system for effectuation in CY 2019. The proposed Home Health Groupings Model (HHGM) eliminates the alignment between therapy visits and reimbursement; instead, payment is based upon patient characteristics – admission source, episode timing, clinical grouping, functional level, and comorbidities. Because the HHGM may perpetuate certain complications of the home health payment system while also creating new access barriers, stakeholders urged CMS not to move forward with implementation of the HHGM until first engaging in an extensive discussion with the home health industry to understand the full implications of the HHGM on patient care.
Review: US Senate Comments on Proposed Rule for HHGM for CY 2019 (.pdf)
Senator Hatch Letter to CMS on HHGM proposal for CY 2019 (.pdf)