PDGM Under Scrutiny at MedPAC Meeting

Some Commissioners lament base payment rate The Medicare Payment Advisory Commission (MedPAC) met to discuss the development of a mandated report assessing the impact of the shift to the PDGM payment model for Medicare Home Health, and in particular the 30-day episode and the removal of therapy utilization in payment determinations. According to MedPAC staff,…

MedPAC Tees Up Hospice Freeze and Aggregate Cap Cut for FY2022 Recommendations

Last week the Medicare Payment Advisory Commission (MedPAC) reviewed the latest available data on Medicare hospice utilization and discussed potential hospice payment recommendations for FY2022 with an eye toward their inclusion in the annual March Report to Congress.   Commission members expressed preliminary support for inclusion of the following recommendations: For fiscal year 2022, eliminate…

MedPAC Opposes Episode-Based Payment for Post-Acute, For Now

On March 8, 2019 the Medicare Payment Advisory Commission (MedPAC) panel concluded that a unified payment system for post-acute care facilities should be based on each patient stay and not the entire episode of care. The discussion among commission members focused on how to create a unified prospective payment system to make Medicare fee-for-service payments…