A new Medicare home health payment system that takes effect Jan. 1, 2020, reimburses for care based on patient characteristics, rather than on the number of therapy minutes the patient needs. The new system, known as the Patient-Driven Grouping Model (PDGM), will likely affect the amount of speech-language treatment a beneficiary receives. It will also lead to changes in the ways speech-language pathologists demonstrate their value in this setting, their roles and responsibilities, and, in…