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CMS Finalizes 0.8% Home Health Payment Increase For 2024, Additional PDGM Cuts
On November 1, 2023, the U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2024 home health final payment rule. This rule includes an estimated 0.8% increase in home health payments for 2024, equivalent to $140 million compared to 2023 payments. However, the rule also involves sharp rate cuts, with CMS finalizing a permanent prospective adjustment of -2.890% to the CY 2024 home health payment rate, a reduction smaller than the proposed -5.1%. CMS maintains that home health agencies were overpaid by approximately $3.5 billion from 2020-2022 and continues to advocate for permanent, negative adjustments, which has sparked disagreement from industry organizations and advocates.
Medigy Insights
CMS has released its CY 2024 home health final payment rule, announcing an estimated 0.8% increase in home health payments for 2024, amounting to $140 million compared to 2023. However, the rule also includes a permanent prospective adjustment of -2.890%, indicating continued rate cuts, albeit smaller than initially proposed. CMS argues that home health agencies have been overpaid by about $3.5 billion from 2020-2022, a contention disputed by industry organizations. While advocacy efforts led to a positive payment adjustment, CMS maintains its stance on permanent, negative adjustments, sparking concerns about patient access and workforce recruitment.
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