CMS proposes negative home health payment update for CY 2023

Jun 21, 2022 - 03:37 PM
CMS-rule-proposed-blue-gradient-bkgd

The Centers for Medicare & Medicaid Services Friday issued its calendar year 2023 proposed rule for the home health prospective payment system, which would reduce net HH payments by $810 million in calendar year 2023 relative to CY 2022. The rule also would strive to achieve budget-neutrality for the Patient-driven Groupings Model on a prospective basis through a 6.9 percentage point cut to all payments; and implement a 0.2% high-cost outlier cut. AHA said it was very concerned about the unprecedented scale of the proposed PDGM behavioral offset. In addition, the rule would require collection of all patient assessment data for the HH Quality Reporting Program; collect feedback on strategies to better measure disparities in health care outcomes; and change the terminology and timeline for baseline years used to calculate performance in the Value-based Purchasing program. CMS will accept comments on the proposed rule through Aug. 16. 

Related News Articles

Headline
CMS releases final guidance for Medicare Prescription Payment Plan 
The Centers for Medicare & Medicaid Services July 16 released its final guidance on the Medicare Prescription Payment Plan which will begin next year. The…
Headline
AHA urges CMMI not to implement proposed mandatory organ transplant payment model
The AHA July 16 urged the Center for Medicare and Medicaid Innovation not to implement its newly proposed Increasing Organ Transplant Access Model as currently…
Headline
AHA comments to senators on proposed legislation to improve primary care payment 
The AHA July 15 commented to Sens. Sheldon Whitehouse, D-R.I., and Bill Cassidy, R-La., responding to a request for information based on the Pay PCPs Act,…
Headline
CMS announces first states to participate in AHEAD model
The Centers for Medicare & Medicaid Services July 2 announced that Maryland, Vermont and Connecticut will be the first participants in the States Advancing…
Headline
Infographic highlights loss of hospital-based obstetric services in rural counties nationwide
An infographic released by the University of Minnesota Rural Health Research Center highlights the decline of maternity care access in rural counties across…
Headline
CMS issues CY 2025 physician fee schedule proposed rule
The Centers for Medicare & Medicaid Services July 10 released its calendar year 2025 proposed rule for the physician fee schedule. The rule proposes to cut…