AHA today urged the Centers for Medicare & Medicaid Services not to re-implement a home health demonstration as proposed. The agency in May issued a notice proposing to revise and expand to other states a HH claim review demonstration paused last year in Illinois following broad opposition to its design. The proposed Review Choice demonstration would begin on or after Oct. 1 in Illinois, Ohio, North Carolina, Florida and Texas, with the option to expand to other states. Participants would have the options of 100% pre-claim review, 100% post-payment review, or a 25% payment reduction on all HH claims, which would still be eligible for review by recovery audit contractors. AHA said the proposed demonstration would reduce beneficiary access to care, penalize providers with no history of fraud, and run counter to CMS’s other HH reform efforts.

Related News Articles

Headline
The Department of Health and Human Services Sept. 4 announced new hardship exemption guidance that would allow consumers ineligible for premium tax credits or…
Headline
The Centers for Medicare & Medicaid Services Innovation Center Sept. 2 announced changes to the Achieving Healthcare Efficiency through Accountable Design…
Headline
The AHA’s Society for Health Care Strategy & Market Development Aug. 21 announced Donna Teach, chief marketing and communications officer for Nationwide…
Headline
A KFF analysis published Aug. 20 provides a state-by-state allocation of Congressional Budget Office estimates that 10 million people could be uninsured by…
Headline
The Centers for Medicare & Medicaid Services today announced a nationwide initiative aimed at reinforcing eligibility standards for Medicaid and the…
Headline
The Centers for Medicare & Medicaid Services Innovation Center Aug. 12 released an FAQ on the Wasteful and Inappropriate Service Reduction Model, a six-…