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MedPAC Calls for Unified Medicare Payment System, 5% Cut to HHAs

Monday, June 17, 2019   (0 Comments)
Posted by: Kyle Simon

The Medicare Payment Advisory Commission (MedPAC) last week released its June 2019 report to Congress, in which it continues to call for a unified payment system for all post-acute care providers, including skilled nursing facilities, in-patient rehabilitation facilities, long-term care hospitals, and home health agencies. MedPAC has suggested a unified payment system since 2016.

In the report, MedPAC's 17 commissioners explained that such a payment system would amount to a projected payment cut of about five percent for home health providers. Additionally, MedPAC addressed its concerns that home health providers are inappropriately self-reporting patients' functional ability to perform activities of daily living.

The call for a unified payment system comes as the Centers for Medicare & Medicaid Services prepares to implement the Patient-Driven Groupings Model (PDGM), considered the most dramatic overhaul to the Medicare home health payment system in nearly two decades. PDGM goes into effect on January 1, 2020.

Although MedPAC was established by Congress in 1997 to examine the Medicare program and provide recommendation to lawmakers, its recommendations often go overlooked.

Click here to read the report.

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