Due to concerns over decreased access to Medicare home health services for some populations, the Affordable Care Act mandates that CMS complete a study of the Home Health Prospective Payment System (HH PPS). The study aims to analyze payment reform options to minimize program vulnerabilities, improve system-wide reimbursement and payment accuracy, and ensure access to home health services for low-income beneficiaries, beneficiaries living in medically underserved areas, and beneficiaries with high levels of clinical severity.

CMS has contracted with L&M to execute the study with the following research objectives: