Update on Letter to CMS: Prevent Payment Cuts and Unsustainable Value Based Purchasing Penalty Percentage
September 11, 2015 11:02 AM
A total of 42 members of the U.S. House of Representatives have now agreed to co-sign the letter to the Centers for Medicare & Medicaid Services (CMS) to prevent the proposed home health case mix cut and Home Health Value Based Purchasing (HHVBP) penalty percentage.
The current list of co-signers includes: Greg Walden (R-OR-2), Tom Price (R-GA-6), James P. McGovern (D-MA-2), Earl Blumenauer (D-OR-3), Yvette D. Clarke (D-NY-9), Charles W. Boustany Jr., M.D. (R-LA-3), Alcee L. Hastings (D-FL-20), Ralph Abraham, M.D. (R-LA-5), Bill Pascrell, Jr. (D-NJ-9), Richard Hanna (R-NY-22), David B. McKinley, P.E. (R-WV-1), Patrick Meehan (R-PA-7), Luke Messer (R-IN-6), Devin Nunes (R-CA-22), Mike Thompson (D-CA-5), Scott DesJarlais (R-TN-4), Mac Thornberry (R-TX-13), Dave Trott (R-MI-11), Walter B. Jones Jr. (R-NC-3), Leonard Lance (R-NJ-7), Niki Tsongas (D-MA-3), John R. Carter (R-TX-31), Garret Graves (R-LA-6), Michael M. Honda (D-CA-17), Ann Kirkpatrick (D-AZ-1), Tom Marino (R-PA-10), Martha McSally (R-AZ-2), Jackie Walorski (R-IN-2), Peter Welch (D-VT-10), Michael McCaul (R-TX-10), Pete Sessions (R-TX-32), Albio Sires (D-NJ-8), and Steve Womack (R-AR-3), Gus M. Bilirakis (R-FL-12), Matthew Cartwright (D-PA-17), Paul Cook (R-CA-8), Rick Crawford (R-AR-1), Peter T. King (R-NY-2), Linda T. Sánchez (D-CA-38), Chris Smith (R-NJ-4), Lynn Westmoreland (R-GA-3), and Todd Young (R-IN-9).
Congratulations New Jersey, Oregon, Georgia, Massachusetts, Louisiana, New York, Florida, West Virginia, Pennsylvania, Indiana, California, Tennessee, Texas, Michigan, North Carolina, Arizona, and Vermont for getting one or more of your Representatives on the letter.
Please use the National Association for Home Care & Hospice’s (NAHC) Legislation Action Center (click here) to encourage your Representative to sign the letter today. Reminder: the deadline is Tuesday, September 15.
About the Letter:
The letter addresses concerns about the proposed home health case mix cut and the proposed HHVBP penalty percentage that were included in the Home Health Prospective Payment System (HHPPS) proposed rule for 2016 issued by CMS in July. Following are details regarding the concerning CMS proposals:
Case Mix Cut: the draft HHPPS rule proposes to cut home health payment rates by an additional 1.72 percent in 2016 and again in 2017. This proposed “case mix” reduction is a concern because it appears to be based on a 2000-2010 case mix weight change analysis, not the changes in the condition of beneficiaries during the 2012 to 2014 period.
Home Health Value-Based Purchasing: the draft rule proposes a HHVBP program that would impose an incentive/penalty range of as much as 5 to 8 percent over a 5-year period. The aggressive nature in which the Secretary intends to ramp up HHVBP is concerning.
The letter urges CMS to “reconsider its proposed case mix cut until it evaluates the specific causes of case mix weight changes from 2012 to 2014 and consider a more reasonable implementation schedule for the proposed withhold amount in the HHVBP program.”
Both the House ‘Dear Colleague’ letter and the proposed letter to CMS are available here.