Posted Monday, March 8, 2021
The Center for Medicare Advocacy (CMA) accused CMS last week of using unfair practices against beneficiaries who require longer-term home healthcare.
CMA said the new payment system Medicare adopted last year, the Patient Driven Groupings Model (PDGM), is prejudiced against beneficiaries with long-term illnesses. Results from the first year show a sharp decline in payments to agencies after 30 days.
“Results from the first year of Medicare’s home health payment system, PDGM (Patient Driven Groupings Model) reveal that Medicare home health payments for the first 30 days of care are, on average, more than 34% higher than for subsequent 30-day periods of care — regardless of the amount of home health services a patient needs, or for how long,” the organization said.
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