CMS Proposes 4.2% Decrease to Provider Payments in 2023

CMS

The U.S. Centers for Medicare & Medicaid Services released its FY 2023 home health proposed payment rule late Friday, Home Health Care News reports.

It comes with a decrease to payment rates by 4.2%, or $810 million less compared to 2022 rates. Overall, the proposed rule looks to be one that will be disappointing to providers, and one they will refute heavily in the public comment period.

“This decrease reflects the effects of the proposed 2.9% home health payment update percentage ($560 million increase), an estimated 6.9% decrease that reflects the effects of the proposed prospective, permanent behavioral assumption adjustment of -7.69% ($1.33 billion decrease), and an estimated 0.2% decrease that reflects the effects of a proposed update to the fixed-dollar loss ratio used in determining outlier payments ($40 million decrease),” CMS wrote in its fact sheet.

“We are very disappointed in the CMS proposed rule issued today,” William A. Dombi, the president of the National Association for Home Care & Hospice (NAHC), wrote in a comment. Read more.

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