Potential change in PPS system being discussed by MedPAC

Posted on Monday, December 7, 2015 2:18 PM

The Medicare Payment Advisory Commission (MedPAC) indicated at their Nov. 6th meeting that the current home health payments based on therapy levels and 60-day episodes of care could be replaced with a radical overhaul of Medicare reimbursement for home health agencies, skilled nursing facilities, long-term care hospitals and inpatient rehab facilities.  In its place, is expected a “reasonably accurate” prospective payment system (PPS) for all post-acute care that will reimburse providers according to patient characteristics rather than the care setting and the amount of service provided.  A new basis for post-acute payments also would help in the creation of bundled payments that combine post-acute and inpatient reimbursement. The IMPACT Act mandates a MedPAC report on a post-acute PPS, which includes recommendations and a technical prototype in June 2023, which would be a rather slow timeline for these post-acute changes.  However, Kevin Brady, the new chairman of the key House Ways and Means Committee, hinted that he may be able to speed up the post-acute changes. You can find the full article in the December 7th issue of Home Health Line.      

About Corridor

Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

For additional information, please contact Corridor at 1-866-263-3795.

Go Back

Explore Corridor’s Solutions

Share This Story, Choose Your Platform!