June 30, 2021

Home health advocates to battle CMS over proposed continuation of PDGM-related rate cut

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McKnight's Senior Living

The leader of a home healthcare coalition said her organization will push back aggressively after the Centers for Medicare and Medicaid Service on Monday proposed keeping a 4.3% cut related to the Patient-Driven Groupings Model (PDGM).

Partnership for Quality Home Healthcare (PQHH) Executive Director Joanne Cunningham said the reduction, which began last year, should end because the new payment system actually has saved CMS money. An analysis her organization commissioned found home health care spending has been lower than expected since CMS adopted PDGM in 2020.

“In the rule they actually make a comment that they understand that if stakeholders have experienced something different than they have, then they invite comment on the methodology. They seem to be inviting some discussion on the issue,” Cunningham told McKnight’s Home Care Daily.

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