Home Health Payment Reform – The Home Health Groupings Model (HHGM)
Centers for Medicare & Medicaid Services
Presentation
August 23, 2016
Examined costs associated with beneficiaries who were: low-income, lived in underserved areas, had high severity of illness The report found current payment system produced lower margins for those:
- Needing parenteral nutrition
- With traumatic wounds or ulcers
- Who required substantial assistance in bathing
- Admitted to home health following an acute or post-acute stay
- Who have a high Hierarchical Condition Category score
- Who had certain poorly controlled clinical conditions
- Who were dual eligible
Focus Areas