State Benchmarking Reports (BKD)

October 2019 - PDGM Update #4

This report series explores the data elements that drive payment under the proposed provisions of the Medicare Patient Driven Groupings Model (PDGM). All data was compiled using the Centers for Medicare & Medicaid Services (CMS) home health claims-OASIS limited data set, which includes claims and OASIS data from 2018. This fourth installment takes a look at comorbidity adjustments by state.

Alabama
Arkansas
California
Colorado
Connecticut
Florida
Hawaii
Illinois
Indiana
Iowa (IAHC)
Iowa (ICHC)
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York (HCANYS)
New York (HCP)
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

October 2019 - PDGM Update #3

This report series explores the data elements that drive payment under the proposed provisions of the Medicare Patient Driven Groupings Model (PDGM). All data was compiled using the Centers for Medicare & Medicaid Services (CMS) home health claims-OASIS limited data set, which includes claims and OASIS data from 2018. This third installment takes a look at functional impairment groupings by state.

Alabama
Arkansas
California
Colorado
Connecticut
Florida
Hawaii
Illinois
Indiana
Iowa (IAHC)
Iowa (ICHC)
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York (HCANYS)
New York (HCP)
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

October 2019 - PDGM Update #2

This report series explores the data elements that drive payment under the proposed provisions of the Medicare Patient Driven Groupings Model (PDGM). All data was compiled using the Centers for Medicare & Medicaid Services (CMS) home health claims-OASIS limited data set, which includes claims and OASIS data from 2018.

Alabama
Arkansas
California
Colorado
Connecticut
Florida
Hawaii
Illinois
Indiana
Iowa (IAHC)
Iowa (ICHC)
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York (HCANYS)
New York (HCP)
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

October 2019 - PDGM Update #1

This report series explores the data elements that drive payment under the proposed provisions of the Medicare Patient Driven Groupings Model (PDGM). All data was compiled using the Centers for Medicare & Medicaid Services (CMS) home health claims-OASIS limited data set, which includes claims and OASIS data from 2018.

Alabama
Arkansas
California
Colorado
Connecticut
Florida
Hawaii
Illinois
Indiana
Iowa (IAHC)
Iowa (ICHC)
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York (HCANYS)
New York (HCP)
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

August 2019 - Final 2020 Hospice Payment Rates

Alabama
Arkansas
California
Colorado
Connecticut
Florida
Hawaii
Illinois
Indiana
Iowa (IAHC)
Iowa (ICHC)
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York (HCANYS)
New York (HCP)
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

July 2019 - Home Health PDGM Impact Under Proposed Rule

In July 2019 the Centers for Medicare and Medicaid Services (CMS) published its proposed Medicare home health agency (HHA) payment rule for 2020. This proposed rule included updates to the Patient Driven Groupings Model (PDGM) scheduled for implementation on Jan. 1, 2020. This report contains a summary comparison of the overall estimated financial impact of PDGM using 2017 and 2018 claims and OASIS data. All payment information has been rounded to the nearest thousand.

Alabama
Arkansas
California
Colorado
Connecticut
Florida
Hawaii
Illinois
Indiana
Iowa (IAHC)
Iowa (ICHC)
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York (HCANYS)
New York (HCP)
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

June 2019 - Home Health PDGM Series

This report series explores the data elements that drive payment under the Medicare Patient Driven Groupings Model (PDGM). All data was compiled using the Centers for Medicare & Medicaid Services (CMS) home health claims-OASIS limited data set, which includes claims and OASIS data from 2017.

Alabama
Arkansas
California
Colorado
Connecticut
Florida
Hawaii
Illinois
Indiana
Iowa (IAHC)
Iowa (ICHC)
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York (HCANYS)
New York (HCP)
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

June 2019 - Hospice Proposed Payment Rates

Below are the proposed hospice rates for dates of service beginning October 1, 2019 for each of the CBSAs in each state. As you know, CMS is proposing to rebase, or rebalance, the payment rates across the levels of care. While continuous, inpatient respite and general inpatient are proposed to see substantial increases, those increases were "pulled" from the routine payment rates to maintain overall budget neutrality. Additionally, wage index rates can have significant swings from CBSA to CBSA. Each hospice is encouraged to use historical utilization data by level of care to see how these new rates will affect overall Medicare revenues. Feel free to reach out to Mark Sharp with BKD at msharp@bkd.com with any questions.

Alabama
Arkansas
California
Colorado
Connecticut
Florida
Hawaii
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

December 2018 - PDGM Impact on Home Health

Alabama
Arkansas
California
Colorado
Connecticut
Florida
Hawaii
Illinois
Indiana
Iowa (IAHC)
Iowa (ICHC)
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York (HCANYS)
New York (NYSHCP)
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

August 2018 - PDGM Impact

Alabama
Arkansas
California
Colorado
Connecticut
Florida
Hawaii
Illinois
Indiana
Iowa (IAHC)
Iowa (ICHC)
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York (HCANYS)
New York (NYSHCP)
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

March 2018 - Hospice

Alabama
Arkansas
California
Colorado
Connecticut
Florida
Hawaii
Illinois
Indiana
Iowa (IAHC)
Iowa (ICHC)
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York (HCANYS)
New York (NYSHCP)
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

February 2018 - Home Health

Alabama
Arkansas
California
Colorado
Connecticut
Florida
Hawaii
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York (HCANYS)
New York (NYSHCP)
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tenessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

January 2018 - Hospice

Alabama
Arkansas
California
Colorado
Connecticut
Florida
Hawaii
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York (HCANYS)
New York (NYSHCP)
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tenessee
Texas
Utah
Virginia
Washington
West Virginia

© 2019 Council of State Home Care Associations. All rights reserved.