2011 Medicare Payment Update for Post-Acute Care Providers

Posted by Jason Greis on August 3, 2010 under Articles | Read the First Comment

The Centers for Medicare & Medicaid Services (“CMS”) has recently released various notices and final rules updating 2011 Medicare payment rates for post-acute care providers, including long-term acute care hospitals (“LTACHs”), inpatient rehabilitation facilities (“IRFs”), skilled nursing facilities (“SNFs”), home health agencies (“HHAs”) and hospices.  These Medicare rate updates generally implement negative payment adjustments mandated by the Patient Protection and Affordable Care Act (Pub. L. No. 111-148), as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. No. 111-152) (together, “PPACA”).  Yet in spite of these adjustments, SNFs, hospices, IRFs and LTACH have fared relatively well with collective Medicare payment increases totaling $919 million, with HHAs offsetting these reimbursement gains by suffering a proposed $900 million Medicare reimbursement cut for calendar year 2011. Read More...

McGuireWoods 2010 North Carolina Healthcare Provider Conference and Post-Acute & Senior Care Conference

Posted by Jason Greis on June 22, 2010 under Events, eNewsletter | Be the First to Comment

2010 North Carolina Healthcare Provider Conference and Post-Acute & Senior Care Conference 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...

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...

Medicare Announces Sites for Pilot Program to Improve Quality As Patients Move Across Care Settings

Posted by Jason Greis on April 13, 2009 under Articles | Be the First to Comment

The Centers for Medicare & Medicaid Services (CMS)  released the below provider release today (April 13, 2009) announcing that fourteen communities around the nation have been chosen for the agency’s Care Transitions Project, which seeks to eliminate unnecessary hospital readmissions.   Each of the fourteen Care Transitions communities will be led by a state Quality Improvement Organization (QIO).   Although the initiative will primarily target local activities in skilled nursing and home health care settings potentially capable of decreasing acute care hospital readmission rates, LTACHs in some communities (e.g., Louisiana and Texas) where LTACH services are more prevalent may also be asked to participate in these programs.  Read More...

Exploring the Potential Benefits and Drawbacks of Acute-Care and Post-Acute Care Payment Bundling

Posted by Jason Greis on April 3, 2009 under Articles, Whitepapers | Be the First to Comment

The current Congressional fervor to overhaul the U.S. health care system has some policy makers discussing how to change the way post-acute providers, including LTACHs, home health agencies, skilled nursing facilities, inpatient rehabilitation facilities, and outpatient-based hospital rehabilitation facilities are compensated for treating Medicare beneficiaries.  One solution proposed by President Barack Obama, the Congressional Budget Office, and certain congressional leaders is to bundle payments for acute care and post-acute care services provided within the first thirty days after being discharged from an acute care hospital.  This bundling model has been proposed many times since the early 1980s as a measure to control escalating post-acute care costs, decrease the number of preventable acute-care hospital readmissions, and increase Medicare cost savings but has never received broad support-until now. Read More...