November 26, 2018
Dombi, Myers: Dangerous Assumptions in PDGM Could Disrupt Home Health
Home Health Care News
Two prominent home health leaders are trying to keep pressure on federal lawmakers to eliminate components of the forthcoming Patient Driven Groupings Model (PDGM).
Bill Dombi, president of the National Association for Home Care & Hospice (NAHC), and Keith Myers, CEO of LHC Group (Nasdaq: LHCG) and chairman of the Partnership for Quality Home Healthcare, penned an op-ed on PDGM that was published Monday in The Hill, a Washington, D.C.-based newspaper that describes itself as “for and about Congress.”
“A newly finalized home health payment model from the Centers for Medicare & Medicaid Services (CMS) moves away from evidence-based decision making toward dangerous assumptions that could disrupt care for some of our nation’s most vulnerable seniors,” Dombi and Myers wrote.
Specifically, the two men take issue with PDGM’s behavioral adjustments. These are Medicare reimbursement changes that CMS baked into PDGM to account for how home health providers will adjust billing practices in response to the new payment framework.