Virtues and Vices of Medicare Episode of Care Payment Bundling: A Look at PPACA’s Pilot Program

Posted by Jason Greis on April 30, 2010 under Presentations | Be the First to Comment

The attached presentation addressing the potential benefits and drawbacks of CMS’s Pilot Program under PPACA to develop an episode of care bundled payment model for acute care, post-acute care, physician and outpatient services was presented at the Chicago Bar Association on Friday, April 30, 2010.  Please feel free to contact me if you have any questions. Read More...

Health Care Update: Senate Patient Protection and Affordable Health Care Act Diminishes Regulatory Relief for LTACHs

Posted by Jason Greis on November 19, 2009 under Articles | Be the First to Comment

Senate Majority Leader Harry Reid (D-NV) unveiled the long-awaited Senate health care bill, titled the “Patient Protection and Affordable Health Care Act,” yesterday evening.  In a news conference held to announce the bill, Sen. Reid said that the bill embodied the Precquisident’s health care goals, calling it a “tremendous step forward.”  The bill would cost $848 billion and would reduce budget deficits by $130 billion over ten years, according to the recently released Congressional Budget Office (CBO) score. Read More...

CMS Proposes New Prospective Payment System for Renal Dialysis Facilities

Posted by Jason Greis on September 21, 2009 under Articles | Be the First to Comment

The Centers for Medicare and Medicaid Services (CMS) recently proposed its new bundled prospective payment system (PPS) for dialysis services provided in End Stage Renal Disease (ESRD) facilities. Read More...

Health Care Legislation Update: The Impact on Post-Acute Care Providers and Physician-Owned Hospitals

Posted by Jason Greis on July 16, 2009 under Articles | Be the First to Comment

President Obama’s looming deadline to hold Congressional pre-conferences and floor votes on comprehensive healthcare reform legislation before Congress’s August recess has prompted a flurry of legislative activity this week.  On Tuesday, July 14, 2009, the House released the Tri-Committee health care reform bill, officially titled H.R. 3200, America’s Affordable Health Choices Act of 2009 (the “Tri-Committee Bill”), and with its party-line vote on Wednesday, July 15, 2009, the Senate Health, Education, Labor, and Pensions (“HELP”) Committee became the first congressional committee to approve a health care reform bill (a copy of which is attached by clicking here).  The Senate Finance Committee’s health reform bill may be released as early as next week. Read More...

To Bundle or Not to Bundle: Lawmakers Explore the Question

Posted by Jason Greis on June 2, 2009 under Whitepapers | Be the First to Comment

The current fervor to overhaul the nation’s health care delivery system has legislators discussing how to change the way post-acute care providers, including long-term acute care hospitals, home health agencies, skilled nursing facilities, and inpatient rehabilitation facilities, are reimbursed for treating Medicare beneficiaries. One potential solution endorsed by both President Obama and the Senate Finance Committee entails bundling payments for acute and post-acute care services provided within the first 30 days after a Medicare beneficiary is discharged from an acute care hospital. Read More...

Senate Finance Committee Health Reform Option Paper Proposals Would Impact Post-Acute Care Providers

Posted by Jason Greis on May 17, 2009 under Articles | Be the First to Comment

On April 29, 2009 the Senate Finance Committee (“Committee”) released the first of three health reform option papers exploring proposals for reducing costs and improving quality and efficiency in the country’s health care delivery system.  The second option paper addressing potential solutions for reforming health coverage decisions was released on May 14, and the final option paper discussing solutions for financing health care reform is scheduled to be released on May 20.  The policy options contained in the first option paper would shift Medicare payments to post-acute care providers from volume‐based to value‐based purchasing by providing new payment incentives for care that contributes to positive patient outcomes.  The first option paper contains a number of proposals that, if enacted, would significantly affect Medicare payments to long-term acute care hospitals (“LTACH”). Read More...