MedPAC Calls for Cuts to Home Health and Hospice

The Medicare Payment Advisory Commission (MedPAC) recommended a seven percent payment reduction to the base home health payment rate for 2021 and the elimination of the update to the FY2021 base payment rates for hospice, at their meeting on January 16. In past years the commission has recommended a five percent reduction in the home…

MedPAC Staff Recommend 7 Percent Cut in Medicare Payment to Home Health Providers

On December 5, the Medicare Payment Advisory Commission (MedPAC) convened for a session titled Assessing Payment Adequacy and Updating Payments: Home Health Care. This is an annual process where the commission receives a presentation evaluating payment adequacy for services rendered, as well as a report on patient access to home health services, and quality of…

Industry Trend Report Tracks Hospice Length of Stay, Utilization

In its 2019 Industry Trend Report, data analytics firm Trella Health (formerly Excel Health Group) provides timely insights into hospice trends, including a focus on hospice admissions, utilization, and length of stay as of the first quarter of 2019. Following are some data points of particular interest. Hospice Admissions: Trella found that hospice admissions grew…

MedPAC Advances Hospice Cap Reforms, FY2021 Payment Recommendations

Initial Findings on Impact of Post-Acute Transfer Policy on Hospice Care On December 5 and 6, the Medicare Payment Advisory Commission (MedPAC) held a public meeting at which members discussed recommendations under consideration for inclusion in its annual MedPAC Report to Congress that is usually released in March.  MedPAC will finalize its recommendations at a…

OIG Updates Work Plan to Include Review of Hospice Inpatient and Aggregate Cap Calculations

On October 4, 2019, the Medicare Payment Advisory Commission (MedPAC) began discussions around potential reform of the hospice Aggregate Cap (Cap). MedPAC is considering a recommendation under which the Aggregate Cap would be wage adjusted for the first time in history but may also consider a reduction in the Aggregate Cap amount: at the October…

MedPAC Pushes for Aligning Payments, Regs, Benefits

The Medicare Payment Advisory Commission (MedPAC) recently convened for a session furthering their work on the development of a unified post-acute care prospective payment system (PAC PPS). In this most recent session, a focus was placed on the applicability of co-pays and potential requirements to access post-acute care (PAC) care via a required hospitalization. MedPAC staff…

MedPAC Contemplates Reform of Hospice Aggregate Cap

The statute authorizing the Medicare Hospice Benefit created two caps on payments designed to control overall spending and increase the likelihood of savings through the use of hospice over curative care at the end of life. One cap – the Inpatient Cap – limits the overall annual percent of inpatient care days that a hospice…

MedPAC Supports Hospice Rebasing, Election/Addendum Requirements in FY2020 Proposed Rule

While the Medicare Payment Advisory Commission (MedPAC) serves principally as an advisory body to the Congress, its role in oversight of Medicare payment policy means that it maintains an interest in annual payment and policy rules issued by the Centers for Medicare & Medicaid Services (CMS).  MedPAC recently weighed in on the proposed fiscal year…

MedPAC Calls for New Payment System and Rate Cut for Home Health

·         MedPAC also questions Reporting on Patient Functional Ability The Medicare Payment Advisory Commission (MedPAC), a group of 17 commissioners created to advise Congress on Medicare issues, provided fresh insight on a possible unified payment model for post-acute care providers and called for a five percent rate cut for home health, in its June report…

MedPAC Examines Payment Based on Value and Patients’ Functional Status

A meeting of the Medicare Payment Advisory Council (MedPAC) earlier this month evaluated the application of patient functional status in payment adjustment, provider performance, and the establishment of plans of care. This presentation by MedPAC evaluated the quality of the data submitted by providers and was a follow-up to a past session on patient assessment…