Measuring patient function a big hitch in creating fair, post-acute pay
By
Kimberly Marselas
Sep 30, 2022
As a Congressional advisory board grapples with how to bring all post-acute providers under a single payment system, the use of self-reported data continues to raise doubts about the ability to accurately...
It’s not all bad news coming from MedPAC
By
James M. Berklan
Mar 19, 2014
A funny thing happened on the way to a semi-annual eye-rolling over a MedPAC report. It gave me reason to sit up with interest. Even more unlikely, it contained information that made some long-term care...
SNF Medicare margins: What MedPAC doesn’t know
By
Betsy Rust
Apr 29, 2016
The articulation of data is vitally important, and MedPAC is not the only entity interpreting, or misinterpreting, cost report and claim data.
MedPAC wants to put SNF Medicare claims to the test
By
John O'Connor
Apr 10, 2017
Skilled operators have been telling lawmakers and regulators that they are the cheapest post-acute care option out there, and it appears the Medicare Payment Advisory Commission has not only heard the...
MedPAC eyes replacing SNF VBP with new model that reimburses more evenly
By
Danielle Brown
Mar 11, 2021
The current value-based purchasing program for skilled nursing facilities would be replaced by an alternative incentive model that rewards providers more evenly under a proposal by the Medicare Payment...
MA plans pocket billions more by enrolling less-costly patients
By
Kimberly Marselas
Jun 16, 2023
Medicare Advantage plans may be receiving overpayments of as much as 20%, finds a new study published by a health and aging think tank.
MedPAC focuses on rehab
By
James M. Berklan
Dec 01, 2013
The Medicare Payment Advisory Commission could be getting closer to formally recommending more uniform payments to skilled nursing facilities and inpatient rehabilitation facilities.
MedPAC finds single post-acute payment system feasible but says smaller-scale fix might be better
By
Kimberly Marselas
Jun 16, 2023
An attempt to unify payments for providers across all types of post-acute care is “analytically within reach,” but extensive policy changes that would likely be needed,
New MedPAC report explores provider incentives, assesses physician payment schedule
Jun 17, 2010
The Medicare Payment Advisory Commission (MedPAC) on Tuesday submitted to Congress its June 2010 report, which focuses on using Medicare incentives to improve quality of care and make efficient use of...
MedPAC wants ‘fundamental change’ for Quality Improvement Organizations
Feb 28, 2011
Technical assistance funding would shift from Quality Improvement Organizations to low-performing providers if the Medicare Payment Advisory Commission has its way. Providers would become more active in...