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Patient-Driven Groupings Model (PDGM) Webinars

Monday, August 20, 2018   (0 Comments)
Posted by: Robin Childers
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In early July the Centers for Medicare and Medicaid Services (CMS) issued its proposed rule for calendar year 2019, which includes a new case-mix methodology for home health payments that would begin in 2020. The new case-mix system, termed the Patient-Driven Groupings Model (PDGM), would rely more heavily on patient characteristics and other information to better align payments with patients’ needs. Under the proposed PDGM, as mandated by the Bipartisan Budget Act of 2018, the unit of payment would switch from 60-day episodes of care to 30-day periods and remove therapy visit thresholds as a determinant of payment. The PDGM would base case-mix adjustment solely on patient characteristics—including diagnosis, functional level, comorbidities, and admission source—to place patients into clinically meaningful payment categories.

A Webinar "Overview of Proposed Home Health Patient-Driven Groupings Model", presented by APTA staff and members of the Home Health Section Government Affairs Committee, was recorded and is now available.

Join APTA staff and members of the Home Health Sections Government Affairs Committee for a live Q & A webinar on the proposed home health PDGM. Two sessions are available for registration: August 27, 1:00 – 2:00 pm, ET Register here | August 27, 7:00 – 8:00 pm, ET Register here

Additional Resources on the PDGM:

Comments on the proposed rule are critical. Please comment no later than August 31, 2018. Refer to the proposed rule document for comment instructions.

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