Congress Grants Home Health Agencies ‘Incredibly Valuable’ Extra Time on Medicare Sequestration

The Senate on Thursday voted 59-35 to pass a bill delaying statutory cuts to the Medicare program. The House passed its own version of the legislation on Dec. 7. Specifically, the bill extends a “holiday” around Medicare sequestration, which translates to a 2% cut for home health agencies and other Medicare-reimbursed providers. Once President Joe […]

The 4 Forces Shaping Home Health Care in 2022

Home health operators each year have to adapt on a number of different fronts, from relatively minor coding updates to major payment adjustments. But in addition to the more run-of-the-mill items, providers occasionally have to navigate macro-level forces that literally change the industry itself. At least four such forces will redefine home health care in […]

Inside the Home Health Industry’s Choose Home Lobbying Push

Home health stakeholders have been lobbying for the Choose Home Care Act of 2021 ever since it was introduced in the U.S. Senate at the end of July. That push has now reached a critical juncture. Beginning last week, the Partnership for Quality Home Healthcare (PQHH) and its provider members have been holding virtual meetings […]

[Updated] CMS Finalizes Home Health Value-Based Purchasing Expansion, 3.2% Rate Increase

It’s official: Providers everywhere will soon be subject to the Home Health Value-Based Purchasing (HHVBP) Model. The first performance year of the expanded initiative — recognized as one of the most successful alternative payment models ever — will be calendar year 2023. The U.S. Centers for Medicare & Medicaid Services (CMS) released the 2022 home […]

[Updated] Landmark Choose Home Bill Introduced in the House

The Choose Home Care Act of 2021 was introduced in the U.S. House of Representatives early Friday morning. The legislation was previously introduced in the Senate at the end of July. If enacted, the landmark Choose Home legislation would create an add-on payment to the traditional Medicare Home Health Benefit, allowing providers to mix in […]

Older Americans Overwhelmingly Support Choose Home Care Act

The vast majority of older Americans want to age in place, several past surveys have found. Unsurprisingly, that desire has translated into overwhelming support for the Choose Home Care Act. Introduced in July by Sens. Debbie Stabenow (D-Mich.) and Todd Young (R-Ind.), Choose Home is legislation designed to give nursing home-eligible Medicare beneficiaries more options […]

PDGM’s Base Rates Set 5.76% Below Budget-Neutral Levels, Analysis Finds

The public comment period for the U.S. Centers for Medicare & Medicaid Services’ (CMS) home health proposed payment rule closed last week. Since then, the industry has voiced more substantive concerns with the rule than initially expected. The Partnership for Quality Home Healthcare (PQHH), for instance, recently released its own perspective, which was driven by […]

Home Health Industry Must Plan for Future PDGM Fight

With a 1.7% bump to Medicare rates and seemingly few modifications to the Patient-Driven Groupings Model (PDGM), the home health proposed payment rule for calendar year 2022 felt relatively benign at first glance. In reality, though, the June 28 proposal from the U.S. Centers for Medicare & Medicaid Services (CMS) likely sets up a policy […]

[Updated] SNF-Diversion Bill ‘Choose Home’ Introduced, Projected to Save Up to $247M Annually

The home health industry reached a major legislative milestone on Thursday, with U.S. Sens. Debbie Stabenow (D-Mich.) and Todd Young (R-Ind.) teaming up to introduce a new bill to support in-home care alternatives to skilled nursing facilities (SNFs). Endorsed by the AARP and supported by a long list of home-based care advocates, the Choose Home […]