Home Health & Hospice

Q: Since the 2014 MedPAC report only features one new recommendation, what previous 2011 recommendations are featured?

Homecare Insider, March 24, 2014

 Q: Since the 2014 MedPAC report only features one new recommendation, what previous 2011 recommendations are featured?

A: This report reiterates the 2011 recommendations the Commission made to rebase home health payments (Medicare Payment Advisory Commission 2011).
They include:
  • The Secretary, with the Office of the Inspector General, should conduct medical review activities in counties that have aberrant home health utilization. The Secretary should implement the new authorities to suspend payment and the enrollment of new providers if they indicate significant fraud. (First recommended in March 2011).
  •  The Congress should direct the Secretary to begin a two-year rebasing of home health rates in 2013 and eliminate the market basket update for 2012. (First recommended in March 2011).
  •  The Secretary should revise the home health case-mix system to rely on patient characteristics to set payment for therapy and non-therapy services and should no longer use the number of therapy visits as a payment factor. (First recommended in March 2011).
  • The Congress should direct the Secretary to establish a per episode copay for home health episodes that are not preceded by hospitalization or post-acute care use. (First recommended in March 2011).