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...

When MedPAC Speaks Congress Listens: What the Inclusion of MedPAC Health Care Delivery Reform Proposals in Health Care Reform Legislation Means for Physicians

Posted by Jason Greis on March 28, 2010 under Articles | Be the First to Comment

On March 1, 2010, the Medicare Payment Advisory Commission (“MedPAC” or the “Commission”) released its 2010 Report to the Congress: Medicare Payment Policy (the “Final Report”) recommending annual Medicare payment updates for Medicare fee-for-service (“FFS”) payment systems, including among others, hospitals (including both general acute care and long term care hospitals) and physicians.  MedPAC is an independent congressional agency established by the Balanced Budget Act of 1997 to formulate recommendations to Congress to address quality and cost-containment issues affecting the Medicare program and its beneficiaries.  Two reports, issued in March and June each year, are the primary outlets for MedPAC’s policy and payment system updates, which change base rates paid by Medicare for a unit of service provided by a FFS provider—for example, a hospital admission or a physician visit or procedure.  Recommended payment system updates are based on an assessment of payment adequacy that takes into account beneficiaries’ access to care, supply of providers, quality of care, providers’ access to capital and Medicare margins.  Read More...

MedPAC Releases 2010 Final Report Recommending Payment Updates for LTACHs and other FFS Providers

Posted by Jason Greis on March 1, 2010 under Articles | Be the First to Comment

On March 1, 2010, the Medicare Payment Advisory Commission (“MedPAC” or the “Commission”) released its 2010 Report to the Congress: Medicare Payment Policy (the “Final Report”).  The purpose of the Final Report is to recommend annual Medicare payment updates for the following nine Medicare fee-for-service (“FFS”) payment systems:  hospitals, physicians, ambulatory surgery centers, outpatient dialysis services, hospices, skilled nursing facilities, home health services, inpatient rehabilitation facility services and long-term acute care hospital services.  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...

Senate Finance Committee Healthcare Bill: Highlighting Provisions of the Chairman’s Mark Applicable to Post-Acute Care Providers

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

I.          Political Overview. 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...