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Response to Post Acute Care Reform

On June 19th, the Senate Finance and House Ways
& Means Committees released a post-acute stakeholder letter asking for
input on reform of post-acute care (PAC).  For these purposes, PAC
includes long-term care hospitals, inpatient rehab facilities, skilled nursing
facilities and home health agencies.    These health care
committees typically do not ask for comment on issues in such a public way so
this request is unprecedented.  There has been criticism in the past that
the committees release significant changes in policy at the end of the year
when various programs are expiring with very little time for reasoned

The committees are requesting input on various PAC reform
ideas put forward by such groups as MedPAC and the Bipartisan Policy
Center.  They also ask for options for reforming PAC and provide
several broad areas for comment including: quality, assessment tools –
including use of the CARE (Continuity Assessment Record and Evaluation) Tool which is a post-acute care standardized tool which ultimately could replace the OASIS / IRF-PAI / MDS, valued based purchasing, reducing hospital admissions, bundled payments, site neutral payments, and a few other areas. Responses to the committees are due August 19th and will become public documents once they are submitted.  HealthPRO is actively involved in providing a response.

Below are links to several key documents:

Senate Finance and House Ways & Means Committees PAC Stakeholder Letter, June 2013

A Bipartisan Rx for Patient-Centered Care and System-Wide Cost Containment – Executive Summary, April 2013

CMS Fact Sheet:  Bundled Payments for Care Improvement Initiative, January

Report to Congress:  Post-Acute Care Payment Reform Demonstration (PAC-PRD),
January 2012

Please submit all written comments to the House PAC mailbox at: postacutecarereform@mail.house.gov
AND the Senate PAC mailbox at: postacutecarereform@finance.senate.gov.
Note all submitted comments shall be considered part of the public record.


Tags: skilled nursing facility, medicare