Posted by Jason Greis on March 28, 2010 under Articles | 
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...
Tags: bundling, CBO, cms, doctor, equipment utilization assumption rate, ffs, grassley, greisguide, greisguidetoltachs, Health Care and Education Affordability Act of 2010, hhs, hr 4691, imaging, independent payment advisory board, ipab, jason greis, long term acute care hospital, long term care hospital, ltac, LTACH, LTCH, medicare, Medicare Payment Advisory Commission, MedPAC, obama, Patient Protection and Affordable Care Act, pha, physician, physician-owned hospital, primary care physician, radiologist, sgr, sustainable growth rate, tort reform
Posted by Jason Greis on March 1, 2010 under Articles |
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...
Tags: 2010 report to congress, 2011, bundling, ffs, greisguide, greisguidetoltachs, inpatient, inpatient rehabilitation facility, ipps, irf, long term acute care hospital, ltac, LTACH, LTCH, march, Medicare Payment Advisory Commission, MedPAC, opps, outpatient, payment, skilled nursing facility, snf, update
Posted by Jason Greis on December 16, 2009 under eNewsletter |
This issue of the GreisGuide to LTACHs Newsletter contains articles and information on: Read More...
Tags: BAA, bill, business associate agreement, greisguide, greisguidetoltachs, hipaa, increase, jason greis, long term acute care hospital, long term care hospital, ltac, LTACH, LTCH, mcguirewoods, MedPAC, newsletter, rate, senate
Posted by Jason Greis on December 14, 2009 under Articles |
On Friday, December 11, 2009, the Medicare Payment Advisory Commission (“MedPAC”) released its draft recommendation to the Secretary of Health and Human Services (“HHS”) to forgo any market basket update to payment rates for long-term acute care hospitals (“LTACH”) for the 2011 rate year (“RY”) (see meeting transcript). MedPAC found that profit margins on Medicare cases averaged 3.4% during RY 2008 and projected that Medicare margins will increase, on average, to 5.8% in RY 2010 with expected improvements in documentation and coding and recent changes to an updated classification system (i.e. MS-LTC-DRGs). Read More...
Tags: 2011, greisguide, greisguidetoltachs, jason greis, long term acute care hospital, loss, ltac, LTACH, LTCH, ltch-pps, market basket update, medicare, MedPAC, profit, prospective payment system, rate year, reimbursement
Posted by Jason Greis on February 21, 2009 under Articles |
On February 17, 2009 President Obama signed into law a $787 billion economic stimulus package called the American Recovery and Reinvestment Act (Act). The Act provides $13 million in funding for LTACHs by making important technical corrections to the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) impacting application of the “25% Rule” and to rules generally placing a three-year moratorium on the establishment and classification of new LTACHs, LTACH satellite facilities and LTACH beds in existing LTACHs or satellite facilities. Read More...
Tags: 25% rule, 4502, aha, altha, american recovery and reinvestment act, Centers for Medicare and Medicaid Services, certificate of need, cms, cobra, con, correction, freestanding, greisguide, greisguidetoltachs, hospital, hr 1, jason greis, ltac, LTACH, LTCH, Medicaid, medicare, MedPAC, mmsea, moratorium, nalth, satellite, technical
Posted by Jason Greis on January 6, 2009 under eNewsletter |
This issue of the GreisGuide to LTACHs Newsletter contains articles and information on:
- MedPAC Forecasts a 4.2% Decrease in Medicare Margins for LTACHs and Proposes 2010 Payment Rate Increase;
- Why Recessionary Pressures and State Medicaid Cuts Will Create a Challenging Environment for Many LTACHs in 2009;
- The Commonwealth Foundation Launches Hospital Comparison Website;
- Medicare Recovery Audit Contractor Update;
- Recent Transactions and Upcoming Events;
- Poll Results; and
- A sneak preview of February Newsletter topics.
Please click here for a .PDF copy of this Newsletter. Read More...
Tags: commonwealth foundation, greisguide, GreisGuide to LTACHs, hospital, Hospital Compare, jason greis, ltac, LTACH, LTCH, margin, medicare, MedPAC, poll, RAC, recession, recovery audit contractor
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