Posted on Tuesday, July 7, 2015 8:44 AM
CMS has announced a proposal to launch a new model designed to support higher quality of care among Medicare beneficiaries. The model is included in the CY 2016 Home Health Prospective Payment System proposed rule. The proposed Home Health Value-Based Purchasing model would test whether incentives for better care can improve outcomes in the delivery of home health services. As more people seek to be taken care of in their homes and communities, CMS is aiming to make sure that care in the home is supported by value-based care delivery model that is consistent with the rest of the system. The model “leverages the successes and lessons learned from other value-based purchasing programs and demonstrations” and would apply a payment reduction or increase to current Medicare-certified home health agency payments, depending on quality performance. Additionally, the proposal cuts Medicare rates by $350 million and includes the third year of a four-year phased “rebasing” of the standardized 60-day home care episode rate to recover several years of overpayments. The rule also calls for an additional 1.72% cut to the standard episode rate in 2016 and 2017 to account for CMS’ “nominal” growth in case-mix sensitivity. CMS will solicit comments until September 4, 2015. Click here for more information. Click here to read more from CMS.
Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!
For additional information, please contact Corridor at 1-866-263-3795.