NAHC Submits Comments on CMS Proposed Rule: Outlier Eligibility, Case Mix Weight Recalibration, Value-Based Purchasing, Negative Pressure Wound Therapy and Quality Measures
The National Association for Home Care & Hospice (NAHC) submitted formal comments to the Centers for Medicare & Medicaid Services regarding its proposed rule that includes the calendar year 2017 Home Health Prospective Payment System (HHPPS) rate update along with significant changes in HHRG scoring and weights, a revised standard for outlier episode payments, modifications in the current Home Health Value-Based Purchasing (VBP) pilot program, and several revised quality measures for the Home Health Quality Reporting Program.
In the comments to CMS, NAHC identified numerous concerns with CMS’s proposed rule in each category, and provided specific recommendations to improve the proposed rule.
HHPPS Proposed 2017 Payment Rates
The proposed rule sets the 2017 payment rates in line with the final year of rate rebasing. While, the rebasing action was effectively set in 2014, NAHC explained in its comments that many home health agencies are currently paid less than their costs due to the generalized rate adjustment methodology established by CMS in 2014 for the 4-year phase in of rebasing.
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