Senator Rand Paul Slams PDGM

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.”

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