3 major Q2 updates changing provider behavior
PDGM Articles and News
What is PDGM?
The Patient-Driven Groupings Model (PDGM) is a new payment model for the home health industry that relies more heavily on clinical characteristics and patient information to determine care. It eliminates the use of therapy service thresholds and changes the basic unit of home health payment from a 60-day episode to 30 days. The National Association of Home Care & Hospice calls it “the biggest change to the payment system in the 21st century.” PDGM is set to take effect Jan. 1, 2020. To help home health business stay informed, we’ve set up this page that will keep up with the latest updates. Check back frequently for more news, guidance and learning opportunities.
WASHINTON, D.C. (April 23, 2019)—The National Association of Home Care & Hospice (NAHC) is currently evaluating possible impacts of the Patient-Driven Groupings Model (PDGM) on the provision of therapy services. While PDGM is based on 2017 data that reflects the volume of therapy services provided during that year, the payment rate for therapy-oriented patient episodes will be lower than the current rate for the same patients as a result of CMS using different visit cost data.
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WASHINGTON, D.C. (February 12, 2019)—Home health leaders with the Partnership for Quality Home Healthcare (Partnership) and National Association for Home Care & Hospice (NAHC) applaud the introduction of S. 433, legislation to improve home health payment reforms to ensure beneficiary access to quality care services is not compromised for America’s growing senior population.
WASHINGTON, D.C. (February 7, 2019)—The National Association for Home Care & Hospice (NAHC) invites you to join us at the in Washington, D.C. on April 1 and 2, 2019, for the annual March on Washington, two days of policy education and advocacy in the halls of Congress.
BIRMINGHAM, Ala. (February 1, 2019)—HomeCare Magazine, the leading business magazine for home medical equipment and home health professionals, is pleased to announce a free PDGM-focused webinar presented in partnership with PointClickCare.
8 areas you should monitor for success under this new model
The Medicare Learning Network (MLN) has scheduled a call for Feb. 12, 2019, to cover the Patient-Driven Groupings Model that will be implemented Jan. 1, 2020.
The new home health reimbursement rule is not the end of the road