Wednesday, March 4, 2015

CMS Moving Forward with Value Based System for Home Health

CMS released a Fact Sheet titled "Health Care Payment and Learning Network".   This network if for the entire healthcare system, not just home health.  The aim is to move the health care system toward value-based-purchasing.   The goal for 2016 is to have 30% of Medicare payments into alternative payment models and increase this to 50% by 2018.  The Fact Sheet gives you the opportunity to become a participant in the overall Health Care Payment and Learning Network.  This will keep you up to date on CMS's plans for the future of the healthcare delivery system.  (This will not volunteer you to join the home health demonstration program described below)  You will have the opportunity to provide input in the overall health care system.

We learned of the Value Based Purchasing for home health agencies in the final home health prospective payment rules.  CMS pointed out it was looking for a demonstration program that would consist of all of the home health agencies in 5 to 8 states. (If your state is chosen you must participate). The proposal states the demonstration program would place 5 percent to 8 percent of home health payments at risk meaning your reimbursement could increase up or down by that amount.  We will be providing more information in future email alerts.  I will be presenting a session on Value Based Purchasing for home health agencies at the Cutting Edge Home Health Leadership Summit to be held in Maui, Hawaii on August 12th to 14th

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