Congress Calls on VNAA for Input on Post-Acute Care Issues
Tuesday, June 25, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy

On June 19, the Senate Finance Committee and House Ways and Means Committee distributed a letter inviting the VNAA and other post-acute providers to submit comments on ways to address substantial variations in Medicare spending, utilization, quality and profit margins within the post-acute care (PAC) sector. The Committees notes: "Our goal should be to ensure that Medicare beneficiaries receive the right PAC, in the right setting, at the right time with the highest level of quality... and taxpayers and beneficiaries are paying the right amount for the care that is delivered."
VNAA was also invited to a special stakeholders meeting on June 19 with key congressional staff from the Senate Finance Committee and House Ways and Means Committee. In the stakeholder meeting, staff clearly stated that hospice is not included in the scope of this request for information.  
The Committees are requesting feedback on a number of proposals including market basket cuts, site neutral payment, the inpatient rehabilitation facilities 75% rule, skilled nursing facilities readmissions penalty, and bundled payment as well as other proposals with the goal of improving PAC payment accuracy, combating fraud and addressing variation in utilization.
VNAA has been hard at work on these issues for some time. Most recently, VNAA held an all member Public Policy Council call on June 18 on hospice regulations and proposals that might limit episodes. In addition, VNAA met with the Centers for Medicare and Medicaid Services (CMS) on audit issues and the Medicare Payment Advisory Commission (MedPAC) on innovations.
To read letter, please click here.Comments due no later than August 19, 2013.
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