MedPAC Affirms Recommendation for New Payment System by 2021

After discussing whether to implement a new prospective payment system (PPS) for home health by 2021, the Medical Payment Advisory Commission (MedPAC) unanimously voted to recommend the date to Congress in its April meeting. MedPAC members voted 15-0 to approve the timeline in its recommendation to Congress. The new PPS was originally likely to be scheduled […]

Monday Briefing: ACA Replacement Off the Table

Happy Monday! While we got our first taste of a warm spring here in Chicago over the weekend, the world kept on turning. Catch up with everything you might have missed last week and over the weekend with our Monday Briefing. To start off your week, read the latest news about the Republican health care […]

MedPAC Recommends 5% Home Health Cut in Final Report to Congress

After recommending a 5% cut to home health payments, the Medicare Payment Advisory Commission (MedPAC) submitted its final report to Congress for the Medicare Payment Policy for 2018. The 17-member commission, which is tasked with recommending rate adjustments for the Medicare fee-for-service payment system to Congress, has long-stated that home health care payments are too […]

Monday Briefing: MedPAC Urges Sooner PPS Implementation

Happy Monday! To kick off your week, start with our Monday Briefing to get caught up on new you might have missed over the weekend and news around the industry. Keep reading to check out our most popular posts from last week. To start, a MedPAC update: The Medical Payment Advisory Commission (MedPAC), the commission […]

Home Health Groups Decry MedPAC Proposed Cuts As Too High

No cuts based on bogus calculations. That’s the message coming from some home health care industry groups after members of the Medicare Payment Advisory Commission (MedPAC) voted to increase cuts to home health reimbursements. The commission, which is charged with recommending payment rates to Congress for the Prospective Payment System (PPS), voted on a 5% […]

Editor’s Picks: President Trump

Sending off the old. That’s what happened on Jan. 20 as President Donald J. Trump was sworn into office and the former president Barack Obama left Washington, D.C., for Palm Springs, California. No matter the politics, we brought readers the latest and greatest from the home health industry. We kept you in the know about […]

MedPAC Recommends 5% Payment Cut for Home Health

After declaring home health margins were too high, members of the Medicare Payment Advisory Commission (MedPAC) voted to affirm their recommendation to lower home health payments during a recent meeting. The decision builds off the commission’s previous sentiment that home health payments have been too high for several years. The commission, which provides recommendations to Congress […]

MedPAC Says Home Health Margins Too High, Fraud Rampant

Integrity remains at the heart of ongoing discussions about home health care reimbursements, and rampant fraud could be cause for further payment cuts. With overpayments remaining high across the home health industry, more payment reductions are called for, as rebasing attempts to bring reimbursement rates in line with costs, members of the Medicare Payment Advisory […]

ACOs Branch Out to Medicaid with New Dual-Eligible Model

A new type of accountable care organization (ACO) is in the works for beneficiaries who account for a disproportionate share of home health spending, the Centers for Medicare & Medicaid Services (CMS) announced. The model may help pay for some of the sickest—and most costly—patients in coordinated care models. Dual-eligible beneficiaries qualify for both Medicare […]

Industry Groups Critique Home Health Reimbursement Changes

More home health payment cuts are coming, and home health care groups are fighting back against further proposals to change reimbursement measures. Most recently, industry groups shot back against the Home Health Prospective Payment System Rate Update for calendar year 2017, which had an open public comment period that ended August 26. In conjunction with […]