CMS Proposes 2.2% Decrease To Home Health Provider Medicare Payments in 2024

CMS Proposes 2.2% Decrease To Home Health Provider Medicare Payments in 2024

The U.S. Centers for Medicare & Medicaid Services (CMS) released its FY 2024 home health proposed payment rule, outlining a significant 2.2% decrease in aggregate home health payments compared to 2023 levels, amounting to an estimated $375 million reduction. This news, expected but disappointing for home health providers, is attributed to a 2.7% proposed payment update ($460 million increase), offset by a -5.1% impact from the permanent behavioral assumption adjustment (-$870 million) and a 0.2% effect from an updated FDL ($35 million increase). With a -3.925% permanent rate adjustment already in effect since 2023, the potential for further payment cuts could have severe consequences for the home health industry as a whole.

Medigy Insights

The U.S. Centers for Medicare & Medicaid Services (CMS) recently disclosed its FY 2024 home health proposed payment rule, highlighting a noteworthy 2.2% decline in aggregate home health payments relative to 2023 figures, resulting in an approximate $375 million reduction. This development, though anticipated, is disheartening for home health providers. The decrease is primarily influenced by a 2.7% proposed payment update (equating to a $460 million increase), counterbalanced by a -5.1% impact stemming from the permanent behavioral assumption adjustment (-$870 million), and a 0.2% effect due to an updated FDL ($35 million increase). Given the existing -3.925% permanent rate adjustment from 2023, the possibility of additional payment cuts could significantly impact the entire home health industry.


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