Medicare Payment Advisory Commission
Medicare rules might have to be relaxed to give hospitals more say in where patients go for post-acute care, members of the Medicare Payment Advisory Commission proposed at a recent meeting in Washington, D.C. It's likely that many hospitals already are "soft steering," some commissioners said.
Medicare payments could be adjusted to reflect how hospice services tend to be more intensive at the beginning and end, according to findings recently published by the Centers for Medicare & Medicaid Services Office of Information Products & Data Analytics.
Skilled nursing facilities and inpatient rehabilitation facilities should receive equal payments for treating some conditions, the Medicare Payment Advisory Commission proposed in its latest report to Congress.
Both houses of Congress now officially are considering bills to standardize assessments across various post-acute care provider types. The House Ways and Means and Senate Finance committees introduced companion versions of the "Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014" Thursday, after releasing a draft in March.
The government should adjust Medicare payment policies to better support the type of care provided in hospital-based skilled nursing facilities, the American Hospital Association urged in a recent letter to a top healthcare official.
Skilled nursing providers and inpatient rehab facilities offer clashing views on Medicare payments as Congress hears testimonyJune 19, 2014
Proposed Medicare payment changes have put the nation's largest long-term care association at odds with inpatient rehabilitation providers, and the two sides sought to sway legislators in advance of a Congressional hearing Wednesday.
All ACOs should be allowed to waive 3-midnight requirement for Medicare skilled nursing coverage, MedPAC saysJune 18, 2014
Accountable care organizations should be able to place patients in skilled nursing facilities more quickly and communicate which SNFs are preferred providers, the Medicare Payment Advisory Commission stated in a letter to a top government health official.
A funny thing happened on the way to a semi-annual eye rolling about a MedPAC report. It contained some information that could make long-term care providers happy.
Patients generally have better clinical outcomes and live longer if they are treated in an inpatient rehabilitation hospital rather than a skilled nursing facility, according to a study commissioned by the American Medical Rehabilitation Providers Association. The findings show why IRFs should be reimbursed at a higher Medicare rate than SNFs, the trade association argued when releasing the results Tuesday.
The chairman of the Medicare Payment Advisory Commission has urged a House committee to set lower Medicare Part B therapy spending caps.
The Medicare Payment Advisory Commission could be getting closer to formally recommending more uniform payments to skilled nursing facilities and inpatient rehabilitation facilities.
The Medicare Payment Advisory Commission devoted a chapter of its June 2013 Congressional report to outpatient therapy recommendations, sparking concern.
Resident care would suffer and providers would shoulder a larger burden if Congress acts on the latest recommendations from the Medicare Payment Advisory Commission, advocates for the long-term care sector say.
As agents of innovative health care for the future, our role is clear in paving the path of collaborative efforts within the patient care continuum. Transitional Care Management (TCM) is certainly not a new concept, but as it evolves the interventions are defined from many different perspectives and approaches. In general, care transitions refer to the movement of patients from one health care practitioner to another.
One-quarter of hospital admissions among Medicare beneficiaries are preventable, with the leading cause for those readmissions is heart failure, a Medicare advisory board report noted.
Republican members of the House Ways and Means Committee have accused the Department of Health and Human Services of overstepping its authority in implementing a controversial Medicare Advantage demonstration project.
Program of All-Inclusive Care for the Elderly providers should be paid more generous Medicare Advantage rates, according to a payment panel. The Medicare Payment Advisory Commission also called for changes that would allow people younger than age 55 to participate in the program, which targets dual eligible seniors.
The bundling of payments to post-acute providers and an overhaul of the therapy caps exception process were just two of the Medicare changes that the Medicare Payment Advisory Commission (MedPAC) floated last week.
Leading provider groups are sharply critical of a Medicare advisory committee's recommendation that the Centers for Medicare & Medicaid Services should massively overhaul the skilled nursing facility reimbursement system and rates.
The Obama administration says that proposed reimbursement cuts to Medicare and Medicaid providers shield beneficiaries from access-to-care difficulties, but some experts aren't so sure.
The Medicare Payment Advisory Commission has voted to crack down on clinicians who overuse diagnostic and imaging tests by making them gain prior approval for Medicare patients.
Long-term care groups on Tuesday strongly criticized the latest round of recommendations to Congress from the Medicare Payment Advisory Commission.
The rise in observational care in hospitals, which nursing home providers have criticized in recent weeks, is not the fault of the Medicare Recovery Audit Contractor program, according to a new report from the Medicare Payment Advisory Commission (MedPAC).
Senate Republicans have introduced legislation that would repeal the Independent Payment Advisory Board (IPAB) that is part of the healthcare reform law.
An Independent Payment Advisory Board (IPAB) established under the healthcare reform act will help to ensure the nation's future fiscal health, Office of Management and Budget Director Peter Orszag said Thursday.
Problems persist when it comes to enrolling seniors dually eligible for Medicare and Medicaid into integrated care programs, Medicare Payment Advisory Commission staff recently said.