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Breaking down Senate Bill 2110

Written by: Mediware on Wednesday, March 26, 2014 Posted in: Inpatient Rehab

IMPACT Act 2014 – Major Timelines Delivered

Post Acute Care Roadmap to PAC Reform

IMPACT Act of 2014

The House Ways and Means and Senate Finance Committees released this two page information sheet on March 18, 2014. In the drafted legislation document, they stated: “the IMPACT Act is the core building block needed for future Medicare PAC reforms, leading to more accountable, quality driven services.”

They bullet six points that succinctly speak of how the timeline and plans to move forward with PAC reform is needed to move ahead, starting with quality and discharge planning data immediately. Paraphrased from the Act:

Challenges with the Medicare Post-Acute Status Quo

  • Wide variation of utilization in PAC
  • Difference in margins among provider types
  • Variation in spending and quality outcomes
  • Reform ideas include expansion bundled payments, site neutral payments and value- based purchasing

The Case for Standardized Post-Acute Assessment Data

  • Standardized assessment is the building block that must occur PRIOR to full REFORM
  • Lack of comparable data undermines policymakers’ and providers’ ability to appropriately determine correct care settings
  • Unable to utilize clinical evidence and quality metrics to differentiate PAC with present inconsistent data
  • IMPACT Act acknowledges the information gap and makes plans to gather data for further recommendations and beneficiary access to the most appropriate setting

Long Overdue Need for a PAC Assessment Tool

  • MedPAC raised need for common tool in 2005
  • Demonstration occurred with additional MedPAC recommendations to move forward and is long overdue

Requires Post-Acute Providers to Report Standardized Assessment Data

  • Will build on present PAC tools to require common reporting across PAC
  • Will include hospitals to report patient assessment data gathered prior to discharge to enable comparison information throughout the entire care episode; not just PAC.

Provides Congress with New Payment Models to Consider for Future Reforms

  • Requires reports to Congress from MedPAC and DHHS to build payment prototypes for Congress to consider.

Protects Beneficiary Choice and Access to Care

  • Directs the Secretary to develop regulations using quality data and taking patient preference into consideration
  • Comparable data collection across all settings to ensure continued access to appropriate settings of care

WE HAVE THE ROADMAP – It’s time to concentrate on quality and discharge planning! My colleague, Bob Habasevich, offers his perspective on the same topic: Care Tool Revisited.


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