All roads seem to be pushing for health care services delivered at home. Even before the onset of the pandemic, we had the push for “deinstitutionalization” with the growth in home-and community-based services (see Deinstitutionalization: Unfinished Business). And on June 28, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the 2022 Home Health Prospective Payment System, which seeks to expand the Home Health Value-Based Purchasing (HHVBP) Model from nine states to nationwide. The proposal, if finalized, would shift home health Medicare reimbursement from fee-for-service (a set payment amount where volume . . .

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