Editor's note: This story was updated July 1, 2025 with additional industry reactions.
WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on Monday, June 30, that would permanently reduce home health payment rates by 4.059% in 2026 and add a temporary 5% clawback as well.
North Haven, Connecticut—To help home health and hospice organizations meet compliance standards and comply with the Center for Medicare and Medicaid Services’ Patient-Driven Groupings Model (PDGM) and Home Health Value-Based Purchasing (HHVBP), Corcoran Consulting Group (CCG) has partnered with Cliniqon, a tech-enabled company that specializes in home health and hospice coding and quality assurance, following all protocols and regulatory standards set by the Centers for Medicare and Medicaid
WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) has proposed a more than 4% cut to home health payments next year, a move that advocates say will continue to harm patients and providers.
WASHINGTON—The Centers for Medicare & Medicaid’s (CMS) proposed rate reductions for home health could be devastating for agencies if they are codified, said Bill Dombi, president of the National Association for Home Care & Hospice (NAHC). Even worse, CMS has left a door open to demand some $3 billion in clawbacks for prior years of what it interprets as over-payments.
WASHINGTON, D.C. (November 1, 2022)—The Centers for Medicare & Medicaid Services (CMS) released its final rule for Medicare home health payments on October 31, settling on a rate reduction of 3.925% for 2023 with additional cuts to come in 2024. That's less than the 7.69% cut initially proposed by the agency for 2023, but still a blow to providers, according to industry advocates.
ST. LOUIS (October 25, 2022)—As the National Association for Home Care & Hospice’s (NAHC) Annual Convention and Expo concluded today in St. Louis, Missouri, one issue loomed over the attendees: What will happen with the federal government's home health final payment rule, which must be released no later than Nov. 2?
Washington, D.C. (August 18, 2022)—The Partnership for Quality Home Healthcare announced the results of a newly conducted national public opinion poll on the Medicare Home Health Program. The poll found widespread and deep support for Medicare home health care services and the need to prevent Medicare cuts to home health care.
LAS VEGAS (July 26, 2022)—Two senators have co-sponsored legislation that would prevent proposed Medicare rate cuts for home health agencies, and a companion in the House is expected to follow later this week, the National Association for Homecare and Hospice (NAHC) announced.
ST. LOUIS (April 6, 2022)—The National Association for Home Care & Hospice (NAHC) is now accepting proposals to present new education at the 2020 Home Care and Hospice Conference & Expo in America's Center Convention Complex, St. Louis, Missouri, Oct.23-25, 2022.
The deadline for submissions is April 18, 2022.
WASHINGTON, D.C. (September 24, 2021)—The Medicare Payment Advisory Commission (MedPAC) met to discuss the development of a mandated report assessing the impact of the shift to the Patient Driven Groupings Model (PDGM) payment model for Medicare home health, and in particular the 30-day episode and the removal of therapy utilization in payment determinations.
WASHINGTON, D.C. (August 31, 2021)—The National Association for Home Care & Hospice submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the latest home health proposed rule 86 Fed. Reg. 35874. The rule proposed changes to the Patient Driven Groupings Model (PDGM) case mix and reimbursement based on 2020 care data.
WASHINGTON, D.C. (March 23, 2021)—The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 12085—Correction to Period Sequence Edits on Home Health Claims.
WASHINGTON, D.C. (November 6, 2020)—The Centers for Medicare & Medicaid Services (CMS) has issued another revision to change request 11855—Penalty for Delayed Request for Anticipated Payment (RAP) Submission—Implementation. The Change Request (CR) revision added remittance advice message information related to the No Pay RAP penalty.
Home health agencies (HHAs) should note that Medicare Administrative Contractors (MACs) will:
