NAHC Concerned About CMS Proposed Changes to HHVBP Model

Posted: July 26, 2018

The Centers for Medicare & Medicaid Services (CMS) issued its proposed home health rule earlier this month. The rule contains payment rate updates for home health agencies for calendar year (CY) 2019 and a proposal for a revised payment model, Patient Directed Grouping Model, effective in CY 2020. In addition to payment updates, CMS has proposed several other policy changes that impact home health agencies.  One key change is CMS’ proposals for the home health value based purchasing model.

The National Association for Home Care & Hospice (NAHC) has concerns with the numerous changes that will have a direct effect on an agency’s TPS and annual adjustments. Payment year 4 carries a potential 7 % adjustment in payment rates, which could be significant if an agency were to receive the full 7% reduction in payments. NAHC will be recommending that CMS delay the implementation of these changes to allow agencies time to implement strategies for success and change behaviors aimed at providing higher quality of care that CMS hopes to achieve with the HHVBP model.  

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