Home Health Prospective Payment System Final Rule for CY 2024

Key Highlights

The rule will:

• • Increase HH payments by an estimated $140 million (0.8%) in CY 2024, relative to CY 2023, based upon: • a 3.3% market basket increase, reduced by a 0.3 percentage point productivity adjustment; • a 2.6 percentage point behavioral adjustment that CMS says is necessary to achieve budget neutrality under the Patient-driven Groupings Model (PDGM); and • an adjustment to the fixed-dollar loss ratio for outlier payments that will result in an estimated 0.4 percentage point increase in payments. • Rebase the HH market basket using updated claims and cost data. • Adopt two new measures to the Quality Reporting Program. • Replace five measures in the Value-based Purchasing program with three new measures and change the weights of the individual measures in scoring.