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Congress seeks input on post-acute care reform

June 19, 2013

Leaders of the House Ways and Means and Senate Finance committees have solicited input from stakeholders, including the AHA, on proposals to reform Medicare payment for post-acute services, including long-term care hospitals, inpatient rehabilitation facilities, skilled nursing facilities and home health agencies. Specifically, the committee leaders seek stakeholder comments by Aug. 19 on proposals by the Medicare Payment Advisory Commission, Obama administration, Bipartisan Policy Center and Simpson-Bowles Commission for market-basket cuts, site-neutral payment, the IRF 75% Rule, SNF readmission penalties, and bundled payments. Other topics of interest include quality measures, patient assessment tools, value-based purchasing and reducing hospital readmissions, as well as questions raised by alternatives to fee-for-service payment. In a statement submitted last Friday to the Ways and Means Health Subcommittee, AHA expressed deep concern with certain budget and regulatory proposals that would further reduce Medicare payments for post-acute providers.