The Medicare profit margins enjoyed by home health agencies continue to justify a process of rebasing payments, starting with a 4-percent reduction in payments, the Medicare Payment Advisory Commission (MedPAC) concludes in its latest annual report to Congress on Medicare reimbursement.
 
The report, released March 13, reiterates the commission's prior recommendation that home health payment rates be “better aligned . . . with the actual costs of providing home health services.”
 
It also recommends once again that the home health PPS not use the number of therapy visits provided as a payment factor.