CMS Takes Action to
Modernize Medicare Home Health
On July 2, CMS proposed significant changes to the Home Health
Prospective Payment System (PPS) to strengthen and modernize Medicare, drive
value, and focus on individual patient needs rather than volume of care.
Specifically, CMS is proposing changes to improve access to solutions via
remote patient monitoring technology, and to update the payment model for
home health care.
“Today’s proposals would give doctors more time to spend with
their patients, allow home health agencies to leverage innovation and drive
better results for patients,” said CMS Administrator Seema Verma. “The
redesign of the home health payment system encourages value over volume and
removes incentives to provide unnecessary care.”
CMS’s proposed changes promote innovation to modernize home
health by allowing the cost of remote patient monitoring to be reported by
home health agencies as allowable costs on the Medicare cost report form.
This is expected to help foster the adoption of emerging technologies by home
health agencies and result in more effective care planning, as data is shared
among patients, their caregivers, and their providers. Supporting patients in
sharing this data will advance the Administration’s MyHealthEData initiative.
As required by the Bipartisan Budget Act of 2018, this proposed
rule would also implement a new Patient-Driven Groupings Model (PDGM) for
home health payments. The proposed rule also includes information on the
implementation of home infusion therapy temporary transitional payments as
required by the Bipartisan Budget Act of 2018. In addition, the proposed rule
solicits comments on elements of the new home infusion therapy benefit category
and proposes standards for home infusion therapy suppliers and accrediting
organizations of these suppliers as required by the 21st Century Cures Act.
Physicians who order home health services for their patients
would also see administrative burden reduced under this rule. CMS is
proposing to eliminate the requirement that the certifying physician estimate
how much longer skilled services would be needed when recertifying the need
for continuing home health care, as this information is already gathered on a
patient’s plan of care.
The proposed rule helps advance the Trump Administration’s
Meaningful Measures Initiative. CMS is proposing changes to the Home Health
Quality Reporting Program (HH QRP). The cost impact related to updated data
collection processes as a result of the proposed implementation of the PDGM
and proposed changes to the HH QRP are estimated to result in a net $60
million in annualized cost savings to Home Health Agencies (HHAs), or $5,150
in annualized cost savings per HHA, beginning in CY 2020.
In the proposed rule CMS is releasing a Request for Information
to welcome continued feedback on the Medicare program and interoperability.
CMS is gathering stakeholder feedback on revising the CMS patient health and
safety standards that are required for providers and suppliers participating
in the Medicare and Medicaid programs to further advance electronic exchange
of information that supports safe, effective transitions of care between
hospitals and community providers.
For More Information:
See the full text of this excerpted CMS Press Release (issued July 2).
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Monday, July 2, 2018
CMS Takes Action to Modernize Medicare Home Health
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