McKnight's November 1, 2019
During a recent public meeting, the Medicare Payment Advisory Commission (MedPAC) proposed a new program that would expand the value-based impact on payments for post-acute care providers.
According to MedPAC, the Value Incentive Program for Post-Acute Care will build upon previous commission work to create a uniform payment system across the four post-acute care settings: skilled nursing facilities, home health services, inpatient rehabilitation facilities and long-term care hospitals. Quality of care would be more aggressively tied to payments in an effort to incentivize improvement.
The PAC-VIP will focus on a small number of “risk-adjusted, claims-based measures,” including all-condition hospitalization within the post-acute care stay, successful discharge to the community and Medicare spending per beneficiary. Performance will be scored...