Home Health Prospective Payment System: Truncated Reimbursement in 2017 Spells Woes for HHAs

Why This Topic Matters

The proposed rule may affect home health reimbursement, agency finances, staffing, and operational planning. It also signals changes that providers and reimbursement staff may need to review during the comment period and before implementation.

Article Sections

1. CMS proposed 2017 home health payment update

   Summarizes the proposed Medicare update for home health agencies and the general factors affecting the payment change. It also frames the industry and beneficiary concerns raised in response to the proposal.

2. Provider reactions and operational concerns

   Describes reactions from industry associations, consultants, and attorneys about the broader financial and staffing impact of the proposal. It addresses concerns about agency sustainability, administrative burden, and access to care.

3. HHAs’ Payments Outstrip Costs, According to Medicare

   Reviews CMS’s stated rationale regarding payment trends, cost data, and historical comparisons. It also discusses the agency’s view of utilization patterns and related market indicators.

4. Get Used to Annual Recalibrations

   Covers annual case-mix recalibration and the challenge of comparing year-to-year payment changes. It also notes additional proposed payment policy updates and the rule’s public comment period.