Medicare Payment Advisory Commission

MedPAC discusses limiting patients' post-acute options

MedPAC discusses limiting patients' post-acute options

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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 rates could be adjusted for start and end of hospice care episodes, CMS report suggests

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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.

MedPAC urges rates blind to care setting

MedPAC urges rates blind to care setting

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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.

House and Senate take on bills that would standardize post-acute care data collection

House and Senate take on bills that would standardize post-acute care data collection

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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.

AHA pushes for payment policies to benefit hospital-based skilled nursing facilities

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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 testimony

Skilled nursing providers and inpatient rehab facilities offer clashing views on Medicare payments as Congress hears testimony

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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 says

All ACOs should be allowed to waive 3-midnight requirement for Medicare skilled nursing coverage, MedPAC says

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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.

Some good news (from MedPAC !): Quality rising

Some good news (from MedPAC !): Quality rising

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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.

Rehab providers offer study results to argue against site-neutral payments

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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.

Call to slash therapy caps

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The chairman of the Medicare Payment Advisory Commission has urged a House committee to set lower Medicare Part B therapy spending caps.

MedPAC focuses on rehab

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The Medicare Payment Advisory Commission could be getting closer to formally recommending more uniform payments to skilled nursing facilities and inpatient rehabilitation facilities.

MedPAC would slash Part B therapy caps

MedPAC would slash Part B therapy caps

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The Medicare Payment Advisory Commission devoted a chapter of its June 2013 Congressional report to outpatient therapy recommendations, sparking concern.

Provider groups protest MedPAC recommendations to reduce therapy caps

Provider groups protest MedPAC recommendations to reduce therapy caps

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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.

Managing the gaps with transitional care

Managing the gaps with transitional care

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.

MedPAC: A quarter of Medicare hospital readmissions are preventable

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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.

House members raise concerns over Medicare Advantage demonstration project

House members raise concerns over Medicare Advantage demonstration project

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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.

Medicare panel seeks enhanced payments, eligibility for the PACE program

Medicare panel seeks enhanced payments, eligibility for the PACE program

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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.

MedPAC mulls bundled payments, changes to therapy cap exceptions process

MedPAC mulls bundled payments, changes to therapy cap exceptions process

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.

Skilled nursing groups slam MedPAC recommendations to revise payment system

Skilled nursing groups slam MedPAC recommendations to revise payment system

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.

Obama's proposed Medicare and Medicaid cuts could negatively impact beneficiaries, experts say

Obama's proposed Medicare and Medicaid cuts could negatively impact beneficiaries, experts say

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.

MedPAC calls for halt to overuse of tests, changes to Quality Improvement Organizations

MedPAC calls for halt to overuse of tests, changes to Quality Improvement Organizations

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.

MedPAC recommendation of 0% pay increase for 2012 leaves long-term care providers fuming

Long-term care groups on Tuesday strongly criticized the latest round of recommendations to Congress from the Medicare Payment Advisory Commission.

MedPAC rules out RAC program as cause of increase in observational care

MedPAC rules out RAC program as cause of increase in observational care

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).

Republican bill would eliminate Medicare payment advisory board from healthcare reform law

Republican bill would eliminate Medicare payment advisory board from healthcare reform law

Senate Republicans have introduced legislation that would repeal the Independent Payment Advisory Board (IPAB) that is part of the healthcare reform law.

New Medicare payment board to play role in lowering deficit, Orszag says

New Medicare payment board to play role in lowering deficit, Orszag says

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.

MedPAC: Promising care models for dual eligibles face challenges

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.

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