Home Health & Hospice

Administration proposes 2015 budget which includes major changes to homecare

Homecare Insider, March 10, 2014

In the budget document released by the Office of Management and Budget, the White House’s proposed 2015 budget includes many changes to homecare including a copayment for new beneficiaries. This proposal is drawing strong criticism from the National Association for Home Care & Hospice.
President Obama’s proposal includes:
  •  Introduce Home Health Copayments for New Beneficiaries
    • This proposal would create a copayment for new beneficiaries of $100 per home health episode, starting in 2018. Consistent with MedPAC recommendations, this copayment would apply only for episodes with five or more visits not preceded by a hospital or inpatient post-acute stay. Home health services represent one of the few areas in Medicare that do not currently include some beneficiary cost-sharing.
  • Allow CMS to Reinvest Civil Monetary Penalties Recovered from Home Health Agencies
    • This proposal allows CMS to retain and invest civil monetary penalties assessed on home health agencies for activities to improve the quality of care of patients receiving home health services. The Affordable Care Act provided this authority for Skilled Nursing Facilities.
You can find the notice here.
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