Home health agencies will see a large cut in payments if the proposed rule change by the Centers for Medicare and Medicaid Services goes through. While there would be a 2.2% increase in payments, there also would be a $485 million decrease through changes to the 60-day episode rate. In addition, the CMS also will be testing a value-based model in five to eight states this year before considering adding a VBM to the rules for reimbursement. The agency will accept comments on the proposed changes through August 26.

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