
BKD Benchmarking Reports
BKD Benchmarking Reports
Through our partnership with the Council of States, HCAW members receive free benchmarking reports from BKD. We’ll update this page when new reports become available, so check back often!
2019
- June – Hospice Proposed Payment Rates These 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.
- June – 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.
- July – 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.
- August – Final 2020 Hospice Payment Rates
- October – PDGM Update Series 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.
- Report #1
- Report #2
- Report #3 – this third installment takes a look at functional impairment groupings
- Report #4 – this fourth installment takes a look at comorbidity adjustments
2018
- January – Hospice
- February – Home Health
- March – Hospice
- August – PDGM Impact
- December – PDGM Impact on Home Health
2017
- September – Hospice
- October – Home Health
- December – Home Health
Information for Members: Benchmarking Reports from BDK
- October 2019 – PDGM Update
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. - August 2019 – Final 2020 Hospice Payment Rates
- 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 - 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. - 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. - December 2018 – PDGM Impact on Home Health
- August 2018 – PDGM Impact
- March 2018 – Hospice
- February 2018 – Home Health
- January 2018 – Hospice
- December 2017 – Home Health
- October 2017 – Home Health
- September 2017 – Hospice
- PDGM Look-Up Tool: Fazzi Associates have put together estimates of how PDGM could affect your agency. The tool was created using data provided by CMS on October 21, ,2018.