When it comes to Centers for Medicare and Medicaid Services changes, I have come to believe that there are 3 sides of the story: the CMS version, the providers' version, and the truth, which is usually somewhere in the middle. The Patient-Driven Groupings Model that will govern home health payment beginning January 2020 is a good example of what I'm talking about.

PDGM shook the therapy world when it was announced that the number of therapy visits will not be considered or weighed into each 30-day period pricing for home care within a 60-day episode. As usual, providers, fearful of losing money, started to lay off therapy staff without really understanding what CMS intended.