Tag: MedPAC

MedPAC shares detail on potential unified payment model, questions functional data

In it’s June 2019 report, the Medicare Payment Advisory Commission (MedPAC) provided additional detail on what a unified post-acute care payment model might look like. MedPAC has presented the idea of a unified payment model for all post-acute care providers in the past. Such a system would include home health agencies, skilled nursing facilities, in-patient […]

MedPAC — yet again — recommends a 5% home health payment reduction

Source: Home Health Line The Medicare Payment Advisory Commission (MedPAC) is once again recommending a 5% Medicare payment reduction for home health agencies. During a Jan. 17 meeting, MedPAC voted in a favor of a draft recommendation that Congress “reduce the calendar year 2019 Medicare base payment rate for home health agencies by 5 percent.” […]

MedPAC publishes resource for SNFs: Payment basics

By The Bottom Line. MedPAC released their Payment Basics for SNFs 2018 report, which provides an overview of Medicare coverage and reimbursement. You can download this resource from The Billers’ Association resource library. The report includes a map explaining how reimbursement is calculated under the current prospective payment system, Medicare daily base rates for FY19, […]

MedPAC weighs in on several topics affecting post-acute care in public meeting

The Medicare Payment Advisory Commission (MedPAC) held their public meeting over two days this week at the Ronald Reagan Building, International Trade Center in Washington to discuss multiple topics impacting post-acute care. The meeting agenda included the following: Medicare Advantage encounter data validation and potential uses: ISSUE: During public sessions, Commissioners regularly highlight situations in […]

MedPAC — yet again — recommends 5% home health payment reductions

by Josh Poltilove reporting for Home Health Line. The Medicare Payment Advisory Commission (MedPAC) is once again recommending a 5% Medicare payment reduction for home health agencies. It’s also recommending that Medicare payments to post-acute care (PAC) providers in the 2019 fiscal year be based “on a blend of each sector’s setting-specific relative weights and […]

Last-minute extenders package might keep rural add-on payments for agencies

by: Josh Poltilove   The following is an excerpt from DecisionHealth’s Home Health Line. Congress this year is expected to consider a Medicare extenders package that could have a significant impact on home health providers, industry experts say. The package likely will include extensions on several Medicare policies slated to expire without Congressional action — […]

MedPAC makes recommendation that RCS-1 replace PPS in FY19

In their November meeting, the Medicare Payment Advisory Commission (MedPAC) discussed a way to increase the equity of payments within each post-acute care (PAC) setting before implementing a unified payment system by using a blend of the setting-specific and PAC PPS relative weights to establish payments in each setting. On Thursday, December 7, MedPAC official […]

The transition to a unified payment system for PAC facilities could start as early as 2019, suggests MedPAC

In response to a Congressional mandate, in 2016 The Medicare Payment Advisory Commission (MedPAC) recommended design features of a unified payment system, the post-acute-care (PAC) prospective payment system (PPS), to pay for services in the four post-acute care settings (home health agencies, skilled nursing facilities, inpatient rehabilitation facilities, and long-term care hospitals). In a meeting […]

MedPAC’s June report is in: Summary here

The Medicare Payment Advisory Commission (MedPAC) published their June Report to the Congress: Medicare and the Health Care Delivery System, in which they evaluate several Medicare payment issues in order to make recommendations to Congress. Issues addressed include: Implementation of a unified payment system for post-acute care. Given the overlap among PAC settings (skilled nursing […]

MedPAC proposes freeze on SNF reimbursement, lawmakers claim organizations would not survive cuts

In a testimony published Thursday, May 18, the Medicare Payment Advisory Commission (MedPAC) reported, as part of their annual payment update recommendation, that no payment update be assigned in 2018 for four fee-for-service (FFS) payment systems, including skilled nursing facilities, long-term care hospitals, ambulatory surgical centers, and hospice. The Commission also recommended reductions of 5% […]