State Benchmarking Reports (BKD)

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

December 2017 - 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

October 2017 - 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
Oklahoma
Oregon
Pennsylvania
South Carolina
Tenessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

September 2017 - 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
Oklahoma
Oregon
Pennsylvania
South Carolina
Tenessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia

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