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Commission on Long-Term Care issues summary of recommendations

September 13, 2013

The federal Commission on Long-Term Care yesterday voted 9-6 to approve a package of recommendations for long-term care reform, which will be published Sept. 18 in a report to Congress. The recommendations, summarized online, include service delivery, workforce and financing proposals, and call for a subsequent national advisory committee to continue the commission’s work and consider potential financing frameworks. Among other proposals, the commission calls for “new models of public payment that pay for post-acute and long-term services and supports on the basis of the service rather than the setting.” Ashley Thompson, AHA vice president and deputy director of policy, said the association would be reviewing the recommendations but “opposes site-neutral policies which fail to take into account the different accreditation and regulation requirement of the facility setting, as well as the complex need and preferences of the patient.” The commission also recommends eliminating Medicare’s three-day hospital stay requirement for skilled nursing facility coverage, and reconsidering the Medicare requirement that individuals receiving home health services be “homebound.” The bipartisan commission was created by the American Taxpayer Relief Act of 2012.