MedPAC recommends redefining long-term care hospitals

Share this article:

A federal advisory panel has released a draft recommendation to redefine long-term care hospitals under Medicare. The Medicare Payment Advisory Commission suggested limiting LTCHs' ability to provide care to patients who can be served more appropriately in acute care hospitals or skilled nursing facilities.

MedPAC said Friday that LTCHs "should be defined by facility and patient criteria that ensures patients are medically complex, have a good chance of recovery, and cannot be treated in less costly settings." There were 318 LTCHs in 2003, up from 105 a decade earlier.

Commission executive director Mark E. Miller said many of the changes could be made administratively.

The issue is gaining attention because Medicare spending on the sector soared to $1.9 billion in 2001 from $398 million in 1993. Further, CMS estimates spending will reach $2.8 billion this year, according to MedPAC. Medicare pays for 71% of LTCH cases, according to the commission.

The recommendation will be voted on in April. To see the report, go to : www.medpac.gov/public_meetings/index.cfm?meeting_id=103.

Share this article:

More in News

Involving nursing assistants with decisions may result in higher quality, study finds

Empowering nursing assistants and family members of nursing home residents in decision-making results improved service, a new study finds.

Also in the news for July 28, 2014 . . .

Nursing home aide accused of choking a resident....Monitoring pulse after stroke may prevent another stroke...Slow walking speed may predict dementia

Site-neutral payments likely to move forward, experts believe

Site-neutral payments likely to move forward, experts believe

As the Centers for Medicare & Medicaid Services and the Medicare Payment Advisory Commission evaluate site-neutral payments, a new brief from Health Affairs and the Robert Wood Johnson Foundation explores ...