CMS Backs Off Severe Cuts, Finalizes 0.7% Increase to 2023 Provider Payments

November 3, 2022

On Monday, October 31, 2023, CMS finally released their much-anticipated FY2023 home health payment rule. The new rule includes an increase to home health payments of 0.7%, or $125 million, compared to 2022 aggregate payments.

The agency had initially floated a 4.2% aggregate decrease in 2023, which would have marked one of the steepest home health Medicare cuts in years. Nonetheless, CMS is still phasing in other cuts and permanent adjustments related to the rebalancing of the Patient-Driven Groupings Model (PDGM).

“CMS is phasing-in the permanent adjustment by finalizing a -3.925% permanent adjustment for CY 2023,” the agency wrote in its fact sheet. “The -3.925% permanent adjustment is half of the full permanent adjustment of -7.85% (-7.69% in the proposed rule). This rule also discusses the comments received on the best approach to implement the statutorily required temporary payment adjustment for CYs 2020 and 2021, and those comments will be considered for future rulemaking.”

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