Expanding Value Based Purchasing In 2022: What Does Over $300 Million More Dollars To Our Industry Look Like?
September 30, 2021
Background Of Home Health Value-Based Purchasing
What Does The 2022 Expansion Look Like For Providers:
- Modification of quality measures: The goal in this is to look at decreasing some of the burden put on providers in the Home Health Quality Reporting Program and focus more on patient outcomes. It does include 2 additional quality measures that deal with promotion of care coordination. Under Executive Order 13985 given on 1/20/2021, the outcome is to better monitor patient outcomes in diverse populations. CMS is looking to focus on health equity in these diverse populations. CMS wants feedback on how to accomplish this through policy changes/ solutions. It is looking at better reporting on dual eligible beneficiaries, disability status, the LGBTQ+ community, religious minorities, and those dealing with ongoing poverty or inequality.
- Routine updates on home health and home infusion payment rates: CMS looks to adjust PDGM case mix, co-morbidities and functional levels. The one items that looks to remain the same are the LUPA thresholds. There does not appear to be an adjustment from 2021 to 2022 in this category.
- Updates to the Medicare Conditions of Participation: During the COVID-19 pandemic, CMS issued certain waivers that it is looking to make permanent. The first is the home health aide supervision waiver and the second is the ability for the occupational therapist to continue to complete the initial and comprehensive assessments for patients.
The ultimate outcome if enacted is an additional $310 million dollars in reimbursement to home health agencies in calendar year 2022. This is the continued shift in healthcare dollars being moved from inpatient care to home and community based services. Should you need assistance in helping your agency become clinically efficient and outcome based while fiscally sound, please call Kenyon Homecare Consulting
at 206-721-5091. Whether you call directly or contact us online, we will put you in touch with a senior associate to help you reach your clinical and financial goals.
Results Based Consulting
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