President’s Budget Reinforces Goal of Unified Post-Acute Payment System, Takes Aim at Hospice in Nursing Homes

On Monday, February 10, 2020, a general outline of the President’s fiscal year (FY) 2021 budget was submitted to Congress. The FY2021 budget proposes to reduce spending on programs administered by the Centers for Medicare & Medicaid Services (CMS) by $1.6 trillion over the next 10 years, including $500 billion from Medicare and $920 billion…

Study: Post-Acute Care Medicare Spending Slowed in Recent Years

Post-acute care Medicare spending slowed considerably for beneficiaries age 65 and older between 2012 and 2015, after years of steady growth in the 1990s and early years of the 21st century, according to a new report from the Commonwealth Fund. Post-acute care spending increased from $1248 to $1424 per beneficiary among Medicare beneficiaries age 65…

MedPAC Data Book Reveals Trove of Key Home Health Stats

The performance of America’s home health agencies on some key quality measures improved markedly in recent years, according to a trove of new statistics revealed in the June 2018 MedPAC Data Book. The average share of a home health agency’s beneficiaries with improvements in walking increased from 58 percent in 2013 to 69 percent in…

MedPAC Considers Unified Payment Options and Metrics

In the Medicare Payment Advisory Commission’s (MedPAC) latest installment towards the development of a unified post-acute care (PAC) prospective payment system (PPS), commissioners received a presentation on possible outcome measures from MedPAC staff. This presentation was followed by a robust discussion. Rationale on the need to develop measures included the ability to compare metrics across…