With the passage of the most recent home health final rule, providers are reminded that clawbacks are still hanging over their heads. Broadly, temporary cuts, or clawbacks, are an attempt from the U.S. Centers for Medicare & Medicaid Services (CMS) to recover perceived overpayments from home health providers in relation to the shift to PDGM. […]
The Partnership for Quality Home Healthcare
Last week, the wait for the CY 2025 home health final payment rule finally came to end. On Friday, the U.S. Centers for Medicare & Medicaid Services (CMS) unveiled a rule that included a 0.5% increase to 2025 home health payments, updates to the Conditions of Participation, as well as changes to Low-Utilization Payment Adjustments […]
Patients are receiving less access to Medicare-certified home health care in recent years, according to a new data analysis. The data analysis – which comes from the Partnership for Quality Home Healthcare (PQHH) and CareJourney by Arcadia – examines Medicare home health fee-for-service claims from 2022 through 2023, in order to determine access to care, […]
In recent years, home health care has faced relentless cuts from the Centers for Medicare & Medicaid Services (CMS). It has plagued the industry, but providers and advocates alike are still hopeful a light at the end of the tunnel is ahead. Organizations such as the Partnership for Quality Home Healthcare (PQHH) and Hearts for […]
The Senate Finance Committee’s Subcommittee on Health Care recently held a hearing centered around home health care and aging in place in the U.S. The hearing covered a number of topics, including the Centers for Medicare & Medicaid Services’ (CMS) home health payment cuts, referral rejection rates, the Medicare Payment Advisory Commission’s (MedPAC) view of […]
During the comment period for the 2024 home health proposed payment rule, the U.S. Centers for Medicare & Medicaid Services (CMS) received a host of responses from providers, industry advocates and other home-based care stakeholders. Chief among their concerns was the impact that the rule – if finalized in its current form – would have […]
Two of home health care’s biggest advocacy organizations have joined forces on a proposed payment rule pre-comment letter addressed to the Centers for Medicare & Medicaid Services (CMS). On Friday, the National Association for Home Care & Hospice (NAHC) and the Partnership for Quality Home Healthcare (PQHH) submitted a joint comment letter that called for […]
Home health stakeholders are urging the Centers for Medicare & Medicaid Services (CMS) to address an alleged forecast error in the home health market basket for 2021 and 2022. Broadly, CMS calculates the expected impact of cost inflation for home health agencies annually. In order to do this, CMS relies on a forecasting methodology from […]
Home health stakeholders often talk about the need to modernize the Medicare home health benefit. What they are often getting at is the need to make it easier for providers to deliver crucial care, while, in turn, creating better access to care. “We constantly need to be thinking about what’s ahead, how to improve this […]
Following the U.S. Senate’s request for information (RFI) regarding solutions to the national health care workforce crisis, the Partnership for Quality Home Healthcare (PQHH) submitted a comment letter on Saturday. The letter detailed the challenges the home-based care sector has been facing, and also included possible solutions. Among the potential solutions is recent state legislation […]