Dombi - winter 2017

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MedPAC 2017 March Report to Congress – Most Medicare provider types assessed for payment adequacy HOME HEALTH: 2015 average margin: 15.6% (11.1 est. 2017) Access to care ◦ 12,346 HHAs (-115 since 2014) Capital OK RECOMMENDATIONS: 5% cut in 2018 Elimination of therapy utilization as a payment level determinant under HHPPS The institution of a second round of rate rebasing in 2019 National Association for Home & Hospice Care 2016 6
HHPPS 2017 Final rule Rates Value-Based Purchasing pilot Program Integrity/Claims Reviews New CoPs (effective 7/13/17) Star Rating System
Page 1 and 2: February 6-8, 2017 Loews Madison Ho
Page 3 and 4: Post-Acute Care Value-Based Purchas
Page 5: Permit Non-physician Practitioners
Page 9 and 10: New model intended to address: ◦
Page 11 and 12: Timing of implementation TBD ◦ Ne
Page 13 and 14: Generally supportive of VBP as a pa
Page 15 and 16: Combined PAC VBP Controversial fir
Page 17 and 18: IMPACT Act driven New Measures ◦
Page 19 and 20: MA plans have begun auditing home h
Page 21 and 22: Suspension/rescission of pre-claim
Page 23 and 24: 2016 ◦ 4,976 HHA surveys ◦ 2.5%
Page 25 and 26: First major revision in CoPs in 3 d
Page 27 and 28: Request that CMS withdraw CoPs or e
Page 29 and 30: Rule changes directly and indirectl
Page 31: Election results raise speculation

Dombi - winter 2017

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