Even as the Medicare Payment Advisory Commission called for cuts to skilled nursing in its semi-annual report to Congress this week, lawmakers appeared ready to shape payment reform themselves.
The Medicare Payment Advisory Commission is struggling with how to help acute-care providers direct patients to better quality post-acute care.
Medicare Payment Advisory Commission members reportedly expressed unanimous support for a plan to transition to a new post-acute payment system beginning in 2019 at a meeting last week.
Medicare payments would decrease for for-profit and freestanding providers under a proposal being considered by the Medicare Payment Advisory Commission designed to accelerate reimbursement adjustments.
Long-term care providers could see changes to their payment system as early as 2019 under an incremental transition period being considered by the Medicare Payment Advisory Commission.
The Medicare Payment Advisory Commission's proposed unified post-acute payment system is "unworkable as a foundation," the American Hospital Association said in September.
Hospital discharge planners may get more flexibility in placing nursing home residents under ideas being considered by the Medicare Payment Advisory Commission.
One should never forget that some of the most brutal fights occur between brothers or sisters.
A unified post-acute payment system proposed by the Medicare Payment Advisory Commission is "unworkable as a foundation" the American Hospital Association maintains.
Skilled operators have been telling lawmakers and regulators that they are the cheapest post-acute care option out there, and it appears the Medicare Payment Advisory Commission has not only heard the claim, but wants to take the industry up on it.
The articulation of data is vitally important, and MedPAC is not the only entity interpreting, or misinterpreting, cost report and claim data.
If you are a post-acute provider, the big health news last week was not Donald Trump unveiling his post-Obamacare blueprint. It was the fact that MedPAC is getting closer to a rather brazen new approach to post-acute payments: equal pay for equal work.
I was truly surprised when I didn't hear long-term care leaders excitedly jumping around, yelling, "See! See! Us too! Us too!" last week. It was a simple report, sure, but one that should have sent the frantic-meter bouncing.
Don't look now, but it appears that nursing home owners might have sneaked one of their own onto the Medicare Payment Advisory Commission.
A former Kaiser Permanente physician executive has been tapped to lead the 17-member Medicare Payment Advisory Commission, the Government Accountability Office announced late last week.
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Attorneys working to abolish the Independent Payment Advisory Board vowed Tuesday to fight the IPAB's first board action, whenever it might come. On Tuesday, the U.S. Supreme Court declined to hear a long-standing case challenging the panel's constitutionality.
Opposition to a proposed independent payment advisory board (IPAB) continued to swell this week following re-introduction of a bill in Congress to repeal a portion of the Affordable Care Act that houses it. Skilled nursing providers have been among providers who do not favor IPAB, which would largely supplant the Medicare Payment Advisory Commission (MedPAC).
The federal government this week argued to the Supreme Court that a lower court was correct when it dismissed challenges to a payment review provision in the Affordable Care Act. Long-term care providers are among those who had hoped the challenges would be successful.
If outgoing MedPAC Chairman Glenn Hackbarth had his way, Medicare would pay for skilled nursing services without requiring a three-day hospital stay first.
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.
Readmissions have become an increasingly urgent concern for skilled nursing facilities not only because they are traumatic for residents, but also because under the Affordable Care Act, hospitals' Medicare reimbursements have been tied to readmission rates. For the past few years, skilled nursing facilities have tried to attract referrals by showing that they can help hospitals keep readmissions low.
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Long-term care and other providers might have to alter their pain management practices if changes discussed at a recent Medicare Payment Advisory Commission meeting come to pass.
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Certain Accountable Care Organizations would be able to send Medicare beneficiaries to a skilled nursing facility without a prior hospital stay under a bipartisan bill recently introduced in the House of Representatives.
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The government should pay for skilled nursing care without a preliminary three-day hospital stay, and the recovery auditor program should be reformed, Medicare Payment Advisory Commission members said at a meeting Friday.
Depending on how you like to interpret the news, nursing home operators are either facing some of the worst of times, or they've been infused with new life.
Proposed Medicare payment changes have put the nation's skilled care companies at odds with inpatient rehabilitation providers, and the two sides were making strident arguments in front of lawmakers at press time.