Posted on Monday, April 15, 2019 12:15 PM
Republican Senator Rand Paul has a unique view on Patient Driven Groupings Model as he is both a legislator and a physician. He sat down with Home Health Care News this week to discuss his concerns on PDGM.
Q: Can you elaborate a little bit more about the aspects of PDGM you find particularly concerning?
A: “No two patients are alike. As a physician, I understand the importance of assessing each patient individually based on their needs.
CMS is setting a dangerous precedent with their inclusion of assumptions to predetermine how providers will care for patients and what a provider will be paid for that service, even before they have a chance to assess that individual’s clinical characteristics and needed treatment. Any new model needs to be evidence-based and not structured on random assumptions.
If it’s not evidenced based, you’d have to live with so many unintended consequences — and one of the unintended consequences would be a lot less home health care for people. That’s one thing I’m worried about.”
Click here for the full article
About Corridor
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.
