tci Medicare Compliance & Reimbursement - 2005 Issue 11
Home Health: CMS Whittles Home Health Compare Measures To 10
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Article Overview
This piece covers CMS’s revision of the Home Health Compare measure set and the broader debate over publicly reported home health outcomes. It is relevant to home health agencies, quality improvement staff, and policy readers following CMS, NQF-endorsed measures, and risk adjustment issues tied to public reporting and future pay-for-performance initiatives.
Why This Topic Matters
The article helps readers understand how CMS is reshaping publicly reported home health quality measures and why risk adjustment remains central to fair comparison of agencies. It also frames the policy significance for providers that may later be evaluated under payment models as well as public reporting.
Article Sections
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CMS revises Home Health Compare measures
This section summarizes CMS’s decision-making around the home health measure set and the overall size of the revised comparison program. It also notes which broad categories of measures are being retained, delayed, or removed.
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Surgical wound measure on hold
This section discusses the status of a wound-related outcome measure and CMS’s interest in reviewing its risk adjustment before implementation. It places the measure within the broader set of home health outcomes under consideration.
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Risk adjustment needs tweaking
This section covers stakeholder concerns about whether current risk adjustment methods adequately reflect patient mix and agency case complexity. It also connects the discussion to future public reporting and pay-for-performance policy.
What You Will Learn
- How CMS is revising the Home Health Compare measure set
- Why risk adjustment is a key issue in public reporting of home health outcomes
- What broad categories of measures were not adopted, delayed, or removed
- How stakeholders view the relationship between outcome measurement and future payment models
Who Should Read This
- Home health agencies
- Home health quality improvement staff
- Medicare compliance and reimbursement professionals
- Health policy analysts
- Clinical documentation and coding stakeholders in post-acute care
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