We are not NAHC members either and along with Katie , I would be happy to hear what others find valuable about the membership.
From: Troumbly, Katie J - Katie.Troumbly at fairview.org (via medicarewkgp list) <medicarewkgp@list.mnhomecare.org>
Sent: Saturday, June 29, 2024 9:53 PM
To: medicarewkgp@list.mnhomecare.org
Subject: *External Email Message*Re: Proposed Rule Webinar - can you attend?
We are not NAHC members. I've considered joining in the past. For those of you that are members, what do you find as the biggest benefits?
Katie
From:
medicarewkgp@list.mnhomecare.org <medicarewkgp@list.mnhomecare.org> on behalf of Kathy Messerli <kmesserli@mnhomecare.org>
Sent: Friday, June 28, 2024 2:52 PM
To: medicarewkgp@list.mnhomecare.org <medicarewkgp@list.mnhomecare.org>
Subject: Proposed Rule Webinar - can you attend?
The Home Health Rule Webinar You Need
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This Message Is From an External Sender
This message came from outside your organization.
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Greetings,
The Medicare Proposed Rule came out on Brianna’s first day of leave! We just sent an overview of the proposed rule, along with the announcement of the NAHC webinar, which will be
Tuesday at noon CT (see below). It’s free to NAHC members. Please let me know if you are able to be on the call and can provide some highlights for the Weds informer article.
In order to shorten the nine-page overview a bit, I deleted the background info. I know that a few of you may be interested in those details, so am including them below.
PROPOSED RULE BACKGROUND
CMS originally proposed a 7.85% permanent rate adjustment in 2023 based on the conclusion that HHAs were overpaid in 2020 and 2021 due to provider behavior changes in coding and services
provided. Ultimately, CMS
applied a 3.925% permanent rate reduction. At the time, CMS explained that the lower adjustment would be applied because “we recognize the potential hardship of implementing the full -7.85 percent permanent adjustment
in a single year.”
The 2024 Proposed Rule included a reduction of 5.653%. This
represented the remainder of the original 7.85% rate reduction that CMS calculated as warranted under its methodology for 2020 and 2021 along with an additional 1.636% for 2022, totaling 9.36% overall from the beginning of PDGM.
An early CMS analysis indicates that the additional 2022 element to the proposed permanent adjustment
is due to further visit decreases in a 30-day episode, particularly with therapy services.
With the 2024 Final Rule, CMS calculated a permanent adjustment of 9.48% with 5.779% needed on top of the 2023 3.925% cut. However, once again out of concern for the impact
of the full rate cut on home health agencies, CMS instituted a rate reduction of 2.890% which is equal to one half of the full adjustment.
In the 2024 rulemaking, CMS did not take any action on the
$3,489,523,364 in temporary adjustments (up from the proposed $3,439,284,729) to address alleged overpayments in 2020-2022. CMS did not propose to collect any of the alleged overpayment in 2024. The Final Rule maintained that position.
CMS also proposes a cost inflation update at 2.5% (3.0% Market Basket Index – 0.5% Productivity Adjustment).
The combination of the proposed permanent adjustment and the inflation update results in a base PDGM 30-day payment rate of $2008.12 for 2025 in contrast to the 2024 base
rate of $2,038.15. The proposed rate change also includes the budget neutrality adjustments for case mix weight recalibration, and wage index rebasing and revising. The proposed rate changes would result in a net reduction in expected Medicare expenditures
in 2025 of $280 million.
I will be out of the office June 24-28 and July 3-16.
Kind Regards,
Kathy Messerli
Executive Director
Minnesota Home Care Association
1265 Grey Fox Road, Suite 2 | Arden Hills, MN 55112-6929
Direct: 651.635.0038 | Main: 651.635.0607
www.mnhomecare.org
| kmesserli@mnhomecare.org
From: NAHC Report <lstadm@nahc.org>
Sent: Friday, June 28, 2024 11:05 AM
To: Kathy Messerli <kmesserli@mnhomecare.org>
Subject: The Home Health Rule Webinar You Need
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