As a result of the Bipartisan Budget Act (BBA) of 2018, the recently released Medicare home health proposed rule reduces rates to home health providers under the Patient-Driven Groupings Model (PDGM). Presently, this means a 4.36% reduction ($1,907.11 for a 30-day unit of service to $1,754.37) due to the new “behavioral assumptions” policy changes.
The Home Health Payment Innovation Act (H.R. 2573/S. 433) will improve the planned changes by prohibiting CMS from reducing payment for Medicare home health services based on faulty, presumptive assumptions before they go into effect in 2020. It would require the use of evidence to make payment changes – allowing for a more accurate reimbursement system that better aligns payment with patient care needs. The legislation would also waive homebound rules for certain Medicare beneficiaries.
Email your members of Congress TODAY in support of the “Home Health Payment Innovation Act of 2019 (H.R. 2573/S. 433)," to mitigate the adverse incentives in the home health prospective payment system and better align payments with the costs of services. We need to have this bill passed before the BBA changes go into effect at the end of this year!