Patient Driven Groupings Model (PDGM)

Home Care Resource Center

There’s a reason the final rule was released on Halloween. Change is scary.

Effective in Jan 1, 2020, the new Patient-Driven Groupings Model is the most significant change to hit the home health industry to date.

PDGM will move Medicare towards a more value-based, outcome- driven payment system that puts the unique care needs of the patient first, while also reducing the level of burden significantly for health care providers.

By reviewing your processes and educating staff, your organization will be prepared to maintain a consistent revenue stream through the transition to the new payment model.

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PDGM Calculator

Discover How Your Organization Will Perform Under PDGM

This calculator aggregates CMS’ Agency-Level Impact information for CY 2019. You can search for your agency by CCN or by State and City. These projections are estimated values based on CMS’ 2019 payment rates and are designed to help providers quantify the potential impact of PDGM.

Here are some resources to help you get started on preparing for the new transition.

Be Everyone’s First Choice

As agencies build their referral partnerships across the continuum of care, having the right platform positions your business for long-term success in a data and quality-driven environment. Giving your care team tools that make their jobs — and lives — easier will keep them happy, engaged, and reduce the strain on you to repeatedly hire and train staff.

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