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CMS Proposes CY 2027 Home Health Payment Rates, Case-Mix Recalibration, and QRP/HHVBP Alignment Changes

The proposed rule touches nearly every lever of home health reimbursement — rates, behavior adjustment, case-mix weights, LUPA thresholds, and quality program alignment — while opening an RFI on a home-health-specific wage index. CMS published its CY 2027 Home Health Prospective Payment System...

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Health and Human Services Department, Centers for Medicare & Medicaid Services · Calendar Year 2027 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the Expanded HH Value-Based Purchasing Model; Medicare Provider Enrollment, Durable Medical Equipment (DME), and DME, Prosthetics, Orthotics, and Supplies (DMEPOS) Policies · Jul 6

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