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CMS finalizes Medicare reimbursement rates for home health agencies

Case Management Weekly, September 11, 2007

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As of August 22, 2007, CMS finalized revisions of the Home Health Prospective Payment System, which determines Medicare reimbursement rates for home health agencies. CMS announced that the final rule reflects its commitment to support beneficiary access to home health services and improve the quality and efficiency of care provided to Medicare beneficiaries. In 2008, Medicare reimbursements to home health agencies will increase by $20 million. 

To account for the changes in case mix that are not related to home health patients' actual clinical conditions, the final rule also implements a reduction in the national standardized 60-day episode payment rate for four years. According to the National Association for Home Care and Hospice, this change will reduce Medicare reimbursement rates for home health by 12% over the next four years to the detriment of the elderly and disabled who will need access to cost-efficient care. 

To read more about the Home Health Prospective Payment System changes click here

Source: CMS, Kaiser Daily Health Policy Report



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