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PAC PPS: Is the Continuing Care Hospital the Answer?

Written by: Shawn Hewitt on Friday, April 22, 2016 Posted in: Acute Care Rehab, Inpatient Rehab, medilinks

We recently wrote a blog about MedPAC’s initiative for a unified prospective payment system for PAC. The American Medical Rehabilitation Providers Association (AMRPA) has been instrumental in defining and supporting the “continuing care hospital” (CCH). AMRPA serves as a proactive advocacy group and unified voice. Its mission is to help guide changes to rehabilitation care legislation using a combination of data, experience, and common sense to ensure that quality patient-centered care remains the focus. On April 6, 2016, AMRPA wrote a letter to MedPAC in advance of the final meeting, commenting on PAC reform and the importance of the CCH model.

The Value of the Continuing Care Hospital

AMRPA describes the value of the CCH Concept as an “… opportunity to develop a patient-centered care model in which the ‘silos’ established by the variety of Medicare payment systems based on care setting are eliminated. Care under the CCH model is delivered based on need rather than setting, and there is an opportunity to realize cost savings due to efficiencies the CCH model would allow. Payment may also be more reflective of actual cost and resource use and not include the multiple costs associated with meeting the requirements of the current payment systems and transfers among care settings as is currently required.”

What could the CCH Model do for you?

The CCH model has done a solid job of defining principles and design that not only address the objectives of a unified PAC PPS but, more importantly, applies focus on the care delivery model and coordination of care based on patients’ needs. Time will tell if the CCH is the answer to help develop a unified PAC PPS. Now is the time to educate yourself on what a CCH model could offer. I think you will find that it is a well-thought-out and logical step in the right direction.

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