Lawmakers in both houses of Congress have presented a draft bill calling for post-acute care providers to furnish standard assessment data, with the goal of enabling better quality oversight and producing Medicare payment reform. The Senate Finance and House Ways and Means committees on Tuesday introduced companion versions of the “Improving Medicare Post-Acute Care Transformation Act of 2014” (IMPACT Act). If the bill becomes law, the Minimum Data Set and other assessment instruments would be modified to enable different types of post-acute providers to submit standard data related to patient assessment, quality measures and resource use measures.
The patient assessment data would include items such as:
- Functional status
- Cognitive function
- Medical condition
Resource use measures would include total Medicare spending per beneficiary. Quality measures would include changes in skin integrity and incidence of major falls. Risk-adjusted rates of potentially preventable hospital admissions and readmissions could also be tracked as a resource use measure. Skilled nursing facilities’ quality reporting would kick off at the start of fiscal 2019 under the proposal. The Medicare Payment Advisory Commission and the Department of Health and Human Services would use the first two years of IMPACT Act reporting data to create Congressional reports on potential payment reforms.