In this week's FutureFocus, is discussion about MedPAC diving deeper into the future of PAC PPS. An episode-based payment design and two uniformly defined outcomes-based measures for discharge to community and avoidable admissions and readmissions are in planning development. Analysis we provide ties this advancement back to ACOs, PAC value-based purchasing, and the IMPACT Act. A must read.
FutureFocus October 17, 2018 Episode-Based Payments And Outcome Measures Under A Unified Payment System For Post-Acute Care: Refinement on the Way
Lisa Remington, President, Remington Health Strategy Group
In This Issue
Episode-Based Payments And Outcome Measures Under A Unified Payment System For Post-Acute Care: Refinement on the Way
By: Lisa Remington, President Remington Health Strategy Group and President The Remington Report
MedPAC, the Commission that reports to Congress on Medicare, is researching a different payment approach for episode-based PAC PPS. This changes the prior development of a common prospective payment system for home health agencies, skilled nursing facilities, inpatient rehabilitation facilities and long-term care hospitals mandated by Congress.
KEY POINTS: The MedPAC Commission will continue to refine two aspects of the stay-based unified prospective payment system (PPS) for PAC including an episode-based payment design and developing two uniformly defined outcomes-based measures—discharge to community and a measure of potentially avoidable admissions and readmissions in acute care hospitals.
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