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

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.

Lisa Remington, President, Remington Health Strategy Group

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.


Reducing Hospital Readmissions

Valuable readmissions information in one place to help you

improve your readmission rates and allow residents and

patients to continue healing while in your care.