In The News

Live Webinar | The CY2023 Home Health Final Rule: Leading Your Agency Through Change

Wednesday, November 16 | 11:00am - 12:00pm MT

Presented by Cindy Campbell, MHA-Healthcare Informatics, BSN, RN, COQS, CHHCM, Director of Operational Consulting, WellSky

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Final Rule ‘Blunts Immediate Impact,’ But CMS-Home Health Industry Core Disagreement Remains

Home Health Care News / By Joyce Famakinwa
Nearly five months after the unveiling of the proposed payment rule caused a stir among home health stakeholders and advocates, the U.S. Centers for Medicare & Medicaid Services (CMS) released its final payment rule on Monday.
Back in June, CMS proposed a 4.2% aggregate decrease for 2023, a cut the industry at large felt would be devastating.
Though CMS will still usher in other cuts and permanent adjustments related to the rebalancing of the Patient-Driven Groupings Model (PDGM), the final rule comes with an increase in the aggregate by 0.7%, or $125 million compared to 2022.
While many in the industry acknowledge that CMS has made efforts to address the concerns of providers, most are still stressing that the methodologies CMS is following will eventually crush providers and access to care .
“CMS has rightly recognized the challenging operating environment providers are currently navigating and reduced payment cuts from the 7.69% proposed in June to the 4% announced today,” LeadingAge President and CEO Katie Smith Sloan, president and CEO said in a statement. “That, along with the 4% market basket update that addresses rising costs of providing services, indicate CMS is cognizant of current realities. We appreciate that — but at the same time, we remain concerned.”
CMS also decided to take a phased-in approach to the behavioral adjustment and only impose about a 3.5% adjustment for a 30-day period. This is an overall $635 million decrease in reimbursement for agencies.
“Agencies need to understand that this is only ½ of what will be imposed after this year,” J’non Griffin, senior vice principal of coding and the OASIS department at SimiTree, told Home Health Care News in an email. “The remaining permanent adjustment, along with any other potential adjustments needed to the base payment rate to account for behavior change based on data analysis, which are all required by law, will be proposed in future rulemaking.”
In the wake of the proposed payment rules release, many took aim at the behavioral adjustment methodology CMS used. With the final rule out, it is still viewed as problematic.

[The HH PPS Final Rule is available at]

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November is Home Care & Hospice Month

During the month of November, the home care and hospice community honors the millions of nurses, home care aides, therapists, and social workers who make a remarkable difference for the patients and families they serve. These heroic caregivers play a central role in our health care system and in homes across the nation. To recognize their efforts, we call upon all Americans to commemorate the power of caring, both at the home and in their local communities, and ask them to join with the National Association for Home Care & Hospice (NAHC) by celebrating November as Home Care and Hospice Month.

In addition, Home Care Aide Week takes place the second full week of the month, November 12-18, 2022. Join us in honoring these compassionate, tireless workers who play an invaluable role for their clients as caregivers, companions, and friends.

“Home care and hospice nurses, therapists, aides, and other providers who choose to use their lives to serve our country’s aged, disabled, and dying. This noble work deserves our recognition and praise and we celebrate November as Home Care & Hospice Month for that very reason.”  – NAHC President William A. Dombi

Fast Facts

  • Home care providers will travel about 8 billion miles to deliver the best health care in the world;
  • Ninety percent of Americans want to age in place, and home care is the preferred method of health care delivery among the disabled, elderly, and chronically ill; and
  • Home care provides high-quality, compassionate care to more than 5 million Americans annually.

Home Care & Hospice Month is the perfect time to connect with your elected officials; visit the NAHC Advocacy Center to learn more.


Supporting a Diversity of Family Caregivers

Family Caregiver Alliance

November is National Family Caregivers Month—a time to acknowledge, celebrate and thank family caregivers. Family Caregiver Alliance is excited to join others across the country in raising awareness and support for the 53 million Americans who provide care to one or more friends or family members.

Our theme this year is “Supporting a Diversity of Family Caregivers!” Throughout our 40+ years of serving family caregivers, we have listened closely to the experiences of caregivers from a range of cultures and communities and have developed resources to meet their specific needs. These include:

  • Fact sheets, videos & other materials translated to Chinese, Spanish, Tagalog & Vietnamese.
  • Family Consultants & Resources Specialists who are bi- or multi-lingual and can assist caregivers directly in Spanish, Mandarin, Cantonese, Tagalog and Korean.
  • Support groups & online communities for LGBTQ+ caregivers, Spanish-speakers & young caregivers.
  • Partnerships & programs that improve support for LGBTQ+ caregivers.

This year, we are excited to share additional, all-new resources and tools on our website for diverse caregivers. Please visit our National Family Caregivers Month (NFCM) page, where you’ll find links to:

  • Brand new website sections for caregivers who speak Chinese, Spanish, Tagalog & Vietnamese.
  • 12+ newly translated fact sheets in 4 languages.
  • “Top Resources” — A collection of our most popular caregiving materials and resources, in 4 languages.
  • ¿Que Pasa? Boletin — An e-newsletter for Spanish-speaking caregivers.

If you’re a family caregiver, THANK YOU for your generosity, dedication and service! Please see our website for resources and information; and contact us if you need further assistance. If you’re a health care or social service provider, or part of an organization that serves caregivers, please share our information with your clients or patients. We look forward to helping them!

Watch for NFCM communications from us throughout this special month, on our website and social media channels


Where to Start? Foundational Learning Materials for the Expanded HHVBP Model

Leading up to CY 2023, the HHVBP TA Team will spotlight different introductory resources to guide HHAs in preparing for the first performance year of the expanded HHVBP Model. CMS and the TA Team encourage HHA staff to review the following resources available on the Expanded HHVBP Model webpage:

  • · HHVBP Model Expansion 101 Live Event – In February 2022, the HHVBP TA Team hosted a live learning event: HHVBP Model Expansion 101. The team shared essential information regarding the expanded HHVBP Model, including topics such as participation criteria, cohort assignment, quality measures, payment adjustment methodology, and performance feedback reports. The learning event concluded with a live Q&A session.
  • · Expanded HHVBP Model Frequently Asked Questions (FAQs) – Routinely updated, the FAQs assist HHAs in understanding common terms used in the expanded HHVBP Model and requirements under the CY 2022 Home Health Prospective Payment System (HH PPS) final rule. The HHVBP TA team provides updates to the FAQs as needed and notifies HHAs that have signed up to receive communications when an updated version is available on the Expanded HHVBP Model webpage.
  • · Expanded HHVBP Model Guide – The Model Guide includes an overview of the expanded Model, information on eligibility and cohorts, quality measures used in the expanded Model, Total Performance Score (TPS) methodology and payment adjustment methodologies, and an overview of the performance feedback reports.

If you have questions about implementation of the expanded HHVBP Model, please email the HHVBP Help Desk at [email protected]com

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