Home health sector glad CMS didn’t finalize pay adjustment method

Home health providers are counting CMS’ decision not to finalize methods for keeping the payment system for home health agencies budget neutral as a win, though they’re still disappointed that CMS decided to move forward with a 4.36% cut for the third year in its final 2022 payment rule.

CMS began the Patient-Driven Groupings Model for home health agencies last year, aiming to cut down on unnecessary therapies and instead emphasize patient characteristics. PDGM also changed the case-mix system and switched to reimbursing agencies based on 30-day periods.

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