Proposed 2025 Home Health Rule: Cuts Continue at 1.7%; CMS Responds to Calls for Accountability for Timely Care

Date: Tuesday, July 2, 2024

In this review: Medicare Program; Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies (proposed rule)

Effective date: Jan. 1, 2025

CMS fact sheet

Comment deadline: Aug. 26, 2024

The big picture: In its proposed 2025 payment rule for home health, the Centers for Medicare & Medicaid Services continues with payment cuts resulting from the Patient-Driven Groupings Model — this time an estimated 1.7%, or a $280 million decrease from 2024 levels. The largely expected continuation of the cuts is only one facet of the proposed rule, which also includes changes to quality reporting, value-based purchasing, and market basket revisions. Provisions of the proposed rule are explained in more detail below.

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