Medicare Proposed Home Health Payment Rule

Home Health Payment Update

HCA of MA has posted to its website, a summary of the Home Health Prospective Payment System (HHPPS) changes that are to be effective  on January 1, 2017. The proposed rule implements the last year of the 3.5 percent rebasing adjustments required by the Affordable Care Act; implements the second year of the three year phase-in of a case-mix adjustment; changes the methodology for outlier payments; proposes payment changes for Negative Pressure Wound Therapy (NPWT); discusses monitoring and research regarding the impact of the changes; seeks comments on a potential process for grouping claims centrally during processing; and proposes changes to the Home Health Value-Based Purchasing (HHVBP) Model; and updates the Home Health Quality Reporting Program (HH QRP).  The Alliance has prepared a PPS Rates spreadsheet with all of the HHRG rates in each county in MA.

Comments are due no later than August 26, 2016 no later than 5:00 p.m.

Author: Pat Kelleher

Pat Kelleher is Executive Director of the Home Care Alliance of Massachusetts.

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