Medicare Part A Home Health Update: Patient-Driven Groupings Model, OASIS-D, and the Medicare Home Health Flexibility Act

The Centers for Medicare & Medicaid Services (CMS) finalized the Patient-Driven Groupings Model (PDGM), signaling the most notable change to the Home Health Prospective Payment System since its implementation in 2000. PDGM will take effect on January 1, 2020. Since 2000, Medicare Part A home health reimbursement rates have been determined by 153 Home Health Resource Groups (HHRGs) composed of clinical dimensions, functional dimensions, and therapy use. Under PDGM, reimbursement is