Dombi - winter 2017

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<strong>2017</strong> Rates ◦ Overall -1.53% rate reduction compared to 2016 New Outlier eligibility standards ◦ Based on 15-minute service units Case mix weight recalibrations Modifications of HHVBP measures New Negative Pressure Wound Treatment benefit Status report on IMPACT Act measures
New model intended to address: ◦ Access to care for vulnerable patients ◦ Elimination of therapy volume as payment rate determinant Home Health Groupings Model (HHGM) ◦ 128 payment groups ◦ Episode timing: early or late ◦ Admission source: community or institutional ◦ Clinical grouping: 6 groups ◦ Functional level: 2-3 groups ◦ Comorbidity adjustment: secondary diagnosis based
Page 1 and 2: February 6-8, 2017 Loews Madison Ho
Page 3 and 4: Post-Acute Care Value-Based Purchas
Page 5 and 6: Permit Non-physician Practitioners
Page 7: HHPPS 2017 Final rule Rates Value-B
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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