The Centers for Medicare & Medicaid Services late today issued its calendar year 2021 proposed rule for the home health prospective payment system. CMS estimates that Medicare payments to home health agencies in CY 2021 would increase by 2.6%, or $540 million, compared to CY 2020.

Based on AHA’s preliminary review, the rule proposes only a small number of changes to the payment system. For example, it would make modifications in recognition of new telehealth activity related to the COVID-19 public health emergency. It also would retain the CY 2020 case-mix weights and payment thresholds used for low-volume cases, referred to as LUPAs. In addition, the rule would make no material changes to the HH quality reporting or value-based purchasing programs.

AHA will issue additional details on the rule soon and host a call for members.

 

Related News Articles

Headline
The Centers for Medicare & Medicaid Services today issued a proposed rule that would increase Medicare inpatient prospective payment system rates by a…
Headline
The Centers for Medicare & Medicaid Services yesterday issued a proposed rule for fiscal year 2023 for the skilled nursing facility prospective…
Headline
Telehealth was critical for providing services to Medicare beneficiaries during the first year of the pandemic, concludes a new report by the Department…
#HealthCareInnovation Thursday Blog
Baptist Health in Jacksonville, Florida, reflects on lessons learned and best practices moving forward Flexibility and adaptability are terms that come to…
Headline
The Medicare Payment Advisory Commission today recommended that Congress provide a current law update for the hospital inpatient and outpatient prospective…
Headline
The Centers for Medicare & Medicaid Services today released its calendar year 2022 final rule for the home health prospective payment system. The rule…