Early PDGM data reveal surprising findings about agency behavior

Data from a recent study of Medicare home health cost reports supports the case that the home health industry didn’t respond with the behavioral adjustments that CMS predicted prior to PDGM. And agencies have experienced increased challenges due to the public health emergency (PHE) that CMS should consider when finalizing the 2021 payment rule.

The Partnership for Quality Home Healthcare (PQHH), the Washington-DC-based company that commissioned the study, is recommending that CMS “consider taking corrective action to increase the base rate so the HH PPS will be more likely to achieve budget neutrality in the CY2021, as authorized by the Bipartisan Budget Act of 2018.” That’s according to comments to the proposed 2021 home health payment rule submitted by this company.

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