MedPAC Home Health Recommendations:
The Secretary, with the Office of Inspector General, should conduct medical review activities in counties that have aberrant home health utilization. The Secretary should implement the new authorities to suspend payment and the enrollment of new providers if they indicate significant fraud. (First Recommended March 2011).
The Congress should direct the Secretary to begin a two-year rebasing of home health rates in 2013 and eliminate the market basket update for 2012. (First Recommended March 2011).
The Secretary should revise the home health case-mix system to rely on patient characteristics to set payment for therapy and nontherapy services and should no longer use the number of therapy visits as a payment factor. (First Recommended March 2011).
- The Congress should direct the Secretary to establish a per episode copay for home health episodes that are not preceded by hospitalization or post-acute care use. (First Recommended March 2011).
VNAA members and staff met with MedPAC in February to discuss the VNAA and VNSNY Vulnerable Patient Study, home health rebasing in 2014 and hospice payment issues. The primary focus of this meeting was to assist MedPAC in better understanding the needs of vulnerable patients and the nonprofit agencies that serve them.
To read the full report on home health please click here.