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* MCKNIGHT’S LONG-TERM CARE NEWS * MCKNIGHT’S SENIOR LIVING * MCKNIGHT’S HOME CARE Log In Register Subscribe HAVE WE GOT NEWS FOR YOU! *CountryUnited States McKnight’s Home Care Daily Pulse I would like to receive relevant information via email from McKnight's Home Care . By registering you consent to the collection and use of your information to provide the products and services you have requested from us and as described in our privacy policy and terms and conditions SIGN UP FOR OUR NEWSLETTERS Privacy Policy | Terms & Conditions Log In MORE FROM MCKNIGHT’S * MCKNIGHT’S LONG-TERM CARE NEWS * MCKNIGHT’S SENIOR LIVING * MCKNIGHT’S HOME CARE Subscribe * Top Stories * News * Business Daily * Clinical Daily * HealthDay news * Home Sweet Home * Peer-to-Peer * Special Series: Lonely at Home * Workforce, a Series * Topics * Alzheimer’s * HCBS * Hospital at Home * PACE * Palliative Care * Columns * Submission Guidelines * In the Market * From the Editor * Guest Columns * Resources * E-books * Game Changers * Market Leaders Podcasts * Newsmakers Podcasts * Online version – Industry Directory * Digital version – Industry Directory * Videos * Webinar Plus * Whitepapers * Events * Webinars * McKnight’s Tech Awards + Summit * McKnight’s Women of Distinction Awards and Forum Content * McKnight’s Women of Distinction Honorees * Pinnacle Awards News [UPDATED] NAHC SUES CMS OVER MEDICARE CUTS Adam Healy Liza Berger July 6, 2023 Share › * Share on Facebook * Share on Twitter * Share on LinkedIn * Share by Email * Print The National Association for Home Care and Hospice (NAHC), the largest association of home care providers, has filed a lawsuit against the Department of Health and Human Services and the Centers for Medicare and Medicaid Services (CMS) to block Medicare rate cuts that are expected to total over $18 billion over the next decade. Last Friday, CMS proposed a 2.2% reduction ($375 million) in Medicare payments for calendar year 2024. The reduction includes a 5.653% permanent rate cut for 30-day period payments related to the transition to the Patient-Driven Groupings Model payment system, which took effect in 2020. That compounds a 3.925% permanent rate reduction ($635 million) that took effect in 2023. NAHC argues CMS’ calculations are flawed, and that the rate adjustment will worsen home care staffing shortages and patients’ access to care. “We have done everything possible to get Medicare to understand the disastrous consequences of its actions,” said William A. Dombi, president of NAHC, in a statement. “We have presented hard facts, deep legal analyses and extensive data to Medicare that demonstrate the errors in its policies to no avail. As a last resort, we have filed this lawsuit to protect Medicare beneficiaries and the home health agencies that care for them.” “Home health agencies again must withstand billions of dollars in payment cuts as cost of care continues to rise and still be expected to deliver the care to which our patients are entitled to as a Medicare benefit,” Ken Albert, NAHC chairman and CEO of Androscoggin Home HealthCare + Hospice, added in a statement. The lawsuit, which has been filed in the U.S. District Court for the District of Columbia, seeks declaratory and injunctive relief including a reversal of the rate adjustments in the 2023 rule and requirement that Medicare implement the budget neutrality mandate consistent with the law. ‘SURVIVAL ACTION’ In an interview with McKnight’s Home Care Daily Pulse on Thursday, Dombi called the lawsuit a “survival action” following last week’s proposed rule. “It’s always a last resort to go to the courts, particularly against a government agency like Medicare,” he said. “While we continue to work the regulatory and the congressional forums available to us, we felt this was necessary to provide an effort at protection, because we see the home health benefit dwindling because of these rate cuts, these illegal and invalid rate cuts.” The suit follows the recent introduction of a Senate bill, S. 2127, which would stop CMS from implementing Medicare cuts related to PDGM last year and this year. Dombi said the cuts are antithetical to a policy swing toward home care. “Everything from a hospital-at-home demonstration program on through indicates this is finally a recognition of the healthcare services at home,” he said. “So along with that big policy approach — that switch to care in the home — we see Medicare cutting and cutting and cutting.” He acknowledged he was disappointed but not surprised about the reductions in the proposed rule. “An $870 million payment rate cut in one year?” he asked hypothetically, referring to a proposed 5.1% decrease reflecting the permanent behavioral rate adjustment for all payments. “I don’t know how they can expect the home health community to withstand that … but we’re not going to be standing idle.” This is a developing story. Please check back for updates. MORE FROM MCKNIGHTS HOME CARE siteName McKnights Home Care siteURL https://www.mcknightshomecare.com siteID 10 Senators float bill shielding home health providers from Medicare cuts Adam Healy 23 June 2023 mcknightshomecare.com As home health providers await a proposed home health payment rule, U.S. senators introduced a bill Thursday morning tha… siteName McKnights Home Care siteURL https://www.mcknightshomecare.com siteID 10 CMS proposes 2.2 percent cut in home health payments for CY 2024 Liza Berger 30 June 2023 mcknightshomecare.com The Centers for Medicare & Medicaid Services is proposing a 2.2% reduction, or $375 million, in home health payments for… siteName McKnights Home Care siteURL https://www.mcknightshomecare.com siteID 10 CMS proposes starting hospice Special Focus Program in 2024 Liza Berger 5 July 2023 mcknightshomecare.com The Centers for Medicare & Medicaid Services outlined plans for the Special Focus Program (SFP) for poor-performing hosp… siteName McKnights Home Care siteURL https://www.mcknightshomecare.com siteID 10 Dombi: In advance of proposed rule, agencies fighting ‘Medicare home health war’ C. Max Bachmann 16 June 2023 mcknightshomecare.com National Association for Home Care & Hospice President William Dombi issued a frank assessment of the state of home heal… siteName McKnights Home Care siteURL https://www.mcknightshomecare.com siteID 10 California AG files suit against home care firm, alleging worker misclassifications Liza Berger 26 June 2023 mcknightshomecare.com California Attorney General Rob Bonta earlier this month filed a lawsuit against a home care firm in the state, accusing… siteName McKnights Home Care siteURL https://www.mcknightshomecare.com siteID 10 Congressman introduces task force to address nursing shortage Adam Healy 5 July 2023 mcknightshomecare.com The task force would “provide recommendations to Congress and the President to address the growing nursing shortage nationwide," * * TOP STORIES View All News OHIO REINSTATES HCBS GRANTS TOTALING $40M TO STATE BUDGET News STUDY FINDS LINK BETWEEN MEDICAID EXPANSION, PALLIATIVE CARE UTILIZATION News HOME CARE BRIEFS FOR FRIDAY, JULY 7 * * EDITORS' PICKS View All NAHC TO FEDS: SEE YOU IN COURT By Liza Berger STATES: IT’S TIME TO MAKE THE MOVE TO MEDICAID HCBS By Liza Berger CMS LIKES TO RUIN WEEKENDS By Liza Berger * HAVE WE GOT NEWS FOR YOU! *CountryUnited States McKnight’s Home Care Daily Pulse I would like to receive relevant information via email from McKnight's Home Care . 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