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…

MedPAC Recommends Cut in Hospice Base Payments for FY2020

The Medicare Payment Advisory Commission (MedPAC) has recommended to the U.S. Congress a two percent reduction in hospice base payments for fiscal year 2020 in its 2019 Report to Congress. This is in line with what NAHC expected and previously reported. Given recent historical data trends, implementation of the MedPAC recommendation for FY2020 would result…

Administration Budget Calls for Spending Cuts, Prior Authorization, Unified Post-Acute Payment System

On Tuesday the White House released the President’s Fiscal Year 2020 Budget. Released annually, the President’s budget does not carry the weight of law, but does provide a robust view of the administration’s priorities, and the direction it would like to take the country. The Department of Health and Human Services outlined a projected budget…

MedPAC Calls for Home Health Rate Cut, NAHC Objects

MedPAC, the Medicare Payment Advisory Commission, released its annual March report to Congress on March 15, 2019.  MedPAC is required to produce this report; however, Congress is not required to act upon all the recommendations contained in the report and historically has not done so.  Chapters 9 and 12 of the Report, Home Health Recommendations…

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…

MedPAC Calls for Rate Cuts to Home Care and Hospice

On Friday, January 17th, the Medicare Payment Advisory Commission (MedPAC) reconvened for a series of sessions to vote on official recommendations the Commission will make to the U.S. Congress. These follow the December MedPAC meeting where staff presented current data and trends within the Medicare program, then offered proposed recommendations for the Commissioners to consider…

MedPAC Considers Hospice, Home Health Payment Changes for 2020

On Friday, December 7th, the Medicare Payment Advisory Commission (MedPAC) convened for presentations and discussion regarding the Medicare hospice and home health benefits. In both sessions, the commission was presented information on current payment adequacy based on data from years past and suggestions from MedPAC staff for recommendations the committee will make to Congress for…

MedPAC is Evaluating the Accuracy of Provider-reported Functional Assessments

On Thursday November 1st, the Medicare Payment Advisory Committee (MedPAC) convened for a session titled Evaluating Patient Functional Assessment Data Used in Medicare Payment and Quality Measurement. In their presentation, MedPAC staff relayed that the majority of post-acute care patients receive a mix of rehabilitative services. As such, staff believes maintenance or improvement of function…