Data Alert: CMS Releases Home Health and Hospice Provider Utilization Data for 2020

Posted November 30, 2022

CMS posted the annual update of the Post-Acute Care and Hospice Provider Public Use File (herein known as “PAC PUF”) with data for 2020. The PAC PUF now has data available for the years 2013-2020.

The PAC PUF presents summarized information on services provided to Medicare beneficiaries by home health agencies, hospices, skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), and long-term care hospitals (LTCHs). It contains information on demographic and clinical characteristics of beneficiaries served, professional and paraprofessional service utilization, submitted charges, and payments at the provider, state, and national levels.

There are additional datasets which can be found as a downloadable report under ‘Resources,” which include information specific to the unique variables (e.g., case-mix groups) for HHAs, SNFs, and IRFs.

Although the PAC PUF provides a wealth of payment and utilization information about home health, hospice and other Medicare services and the National Association for Home Care & Hospice (NAHC) recommends that all home health and hospice providers review their own data and that of their peers, the dataset also has a number of limitations.

The information presented in this file does not indicate the quality of care provided by individual providers; it only contains cost and utilization information. Further, the data are not risk-adjusted and thus do not account for differences in the underlying severity of disease of patient populations treated by providers.

Source: NAHC report

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