CY 2016 Home Health Prospective Payment System Refinements and Rate Update; Home Health Value Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1625-P)

38 organizations filed 39 public comments on CY 2016 Home Health Prospective Payment System Refinements and Rate Update; Home Health Value Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1625-P), at the Centers for Medicare & Medicaid Services. The comment window closed 3980d ago.

Abstract

This proposed rule would update Home Health Prospective Payment System (HH PPS) rates, including the national, standardized 60-day episode payment rates, the national pervisit rates, and the non-routine medical supply (NRS) conversion factor under the Medicare prospective payment system for home health agencies (HHAs), effective for episodes ending on or after January 1, 2016. As required by the Affordable Care Act, this proposed rule implements the third year of the four-year phase-in of the rebasing adjustments to the HH PPS payment rates. This proposed rule provides information on our efforts to monitor the potential impacts of the rebasing adjustments. This proposed rule also proposes: reductions to the national, standardized 60-day episode payment rate in CY 2016 and CY 2017 of 1.72 percent in each year to account for estimated case-mix growth unrelated to increases in patient acuity (nominal case-mix growth) between CY 2012 and CY 2014; a HH value-based purchasing (HHVBP) model to be implemented beginning January 1, 2016 in which all Medicare-certified HHAs in selected states will be required to participate; changes to the home health quality reporting program requirements; and minor technical regulations text changes. Finally, this proposed rule would update the HH PPS case-mix weights using the most current, complete data available at the time of rulemaking and provide an update on the Report to Congress regarding the home health (HH) study.

Commenters (38)

• NJ--Home Care & Hospice Association of NJtrade assoc.

  2 filings · confidence 85%
• American Health Care Association (AHCA/NCAL)trade assoc.

  1 filing · confidence 97%
• CA--California Association for Health Services at Hometrade assoc.

  1 filing · confidence 85%
• CA--McKesson Corporationunverified attribution

  1 filing · confidence 70%
• CA-California Hospital Associationtrade assoc.

  1 filing · confidence 85%
• CT--Connecticut Association for Healthcare at Hometrade assoc.

  1 filing · confidence 85%
• DC - Alliance for Home Health Quality and Innovationtrade assoc.

  1 filing · confidence 85%
• DC--Adult Vaccine Access Coalitiontrade assoc.

  1 filing · confidence 85%
• DC--Alzheimer's Associationtrade assoc.

  1 filing · confidence 85%
• DC--American Hospital Associationtrade assoc.

  1 filing · confidence 85%
• DC--HealthSouth Corp.unverified attribution

  1 filing · confidence 70%
• DC--National Association for Home Care & Hospicetrade assoc.

  1 filing · confidence 85%
• DC--Partnership for Quality Home Healthcaretrade assoc.

  1 filing · confidence 85%
• DC-Association for Professionals in Infection Control and Epidemiologytrade assoc.

  1 filing · confidence 85%
• FL--Interim HealthCare Inc.unverified attribution

  1 filing · confidence 70%
• IL - Association of Rehabilitation Nursestrade assoc.

  1 filing · confidence 85%
• MD--Maryland-National Capital Homecare Associationtrade assoc.

  1 filing · confidence 85%
• MD--The American Occupational Therapy Associationtrade assoc.

  1 filing · confidence 85%
• MD-American Nurses Associationtrade assoc.

  1 filing · confidence 85%
• MD-American Speech-Language-Hearing Associationtrade assoc.

  1 filing · confidence 85%
• MI--Michigan Health & Hospital Associationtrade assoc.

  1 filing · confidence 85%
• MN--Minnesota HomeCare Associationtrade assoc.

  1 filing · confidence 85%
• MO--Missouri Alliance for Home Caretrade assoc.

  1 filing · confidence 85%
• MO--Missouri Hospital Associationtrade assoc.

  1 filing · confidence 85%
• NC--Association for Home & Hospice Care of North Carolinatrade assoc.

  1 filing · confidence 85%
• NE--Nebraska Hospital Associationtrade assoc.

  1 filing · confidence 85%
• NY--Continuing Care Leadership Coalitiontrade assoc.

  1 filing · confidence 85%
• NY--Healthcare Association of New York Statetrade assoc.

  1 filing · confidence 85%
• NY--National Multiple Sclerosis Societytrade assoc.

  1 filing · confidence 85%
• PA--Council of State Homecare Associationstrade assoc.

  1 filing · confidence 85%
• PA--Pennsylvania Homecare Associationtrade assoc.

  1 filing · confidence 85%
• PA--The Hospital and Healthsystem Association of Pennsylvaniatrade assoc.

  1 filing · confidence 85%
• PA--University of Pittsburgh Community Provider Services Divisionunverified attribution

  1 filing · confidence 70%
• SC--SC Home Care & Hospice Associationtrade assoc.

  1 filing · confidence 85%
• TN--TN Association for Home Caretrade assoc.

  1 filing · confidence 85%
• TX--Texas Association for Home Care & Hospicetrade assoc.

  1 filing · confidence 85%
• VA--American Association of Nurse Practitionerstrade assoc.

  1 filing · confidence 85%
• VA--Virginia Association for Home Care and Hospicetrade assoc.

  1 filing · confidence 85%