Proposed Payment Rule Could Trigger $18B Cumulative Cut to Medicare Home Health Reimbursement

The U.S. Centers for Medicare & Medicaid Services (CMS) has not proposed a negative aggregate payment adjustment for home health agencies for the following year since 2018.

That stable Medicare-reimbursement landscape, in turn, has allowed home health operators to grow their businesses and test out new, innovative care models, while also investing in their workforce. This period of stability, however, is inching closer to a potential end.

“You’re hearing loud and clear from the home health provider community that this is a real gut punch, and it will harm access to care for the Medicare population,” Joanne Cunningham, CEO of the Partnership for Quality Home Healthcare, told Home Health Care News. “The size and the nature of … these reductions, what they would do to the Medicare home health program, would be severe.”

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