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

2017

Information for Members: Benchmarking Reports from BDK