RevCycle Intelligence October 18, 2023
Reducing payment rates to skilled nursing facilities, inpatient rehab facilities, and home health providers by 5 percent would’ve saved $2.7 billion in Medicare spending in 2021.
As Medicare Part A is expected to become insolvent by 2033, Congress should reduce Medicare spending on post-acute care by lowering payment rates to skilled nursing facilities (SNFs), home healthcare providers, and inpatient rehabilitation facilities (IRFs), according to an Urban Institute brief.
Post-acute care utilization and spending vary across the four settings: SNFs, IRFs, long-term care hospitals (LTCHs), and patients’ homes through the home healthcare benefit.
In 2021, 1.2 million Medicare beneficiaries used SNFs and total spending was $28.5 billion. Three million beneficiaries used home health, with Medicare spending reaching $16.9 billion. IRF spending...
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