The Center for Medicare Advocacy (Center) submitted comments to the Centers for Medicare and Medicaid Services (CMS) about the Calendar Year 2021 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Requirements; and Home Infusion Therapy Service Requirements. The Center’s comments to the proposed rule address payment, quality, telehealth, home infusion benefits, and frequently heard beneficiary access experiences, as follows:
- The home health payment system, which often results in home
health agencies denying services to people with longer-term and chronic
conditions.
- The lack of needed updates to quality rules, which often
leave patients who need maintenance care without access to necessary,
quality services.
- The rapid embrace of telehealth, as a result of the pandemic,
which raises many concerns about how to maximize access to care for
beneficiaries while carefully minimizing misuse of virtual services.
- The need to expand, not narrow, the allowable drugs and
biologicals available for coverage via home infusion.
- A summary of concerns received by the Center that drive our
advocacy to change and improve the Medicare home health program.
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