MedPAC Votes Again to Recommend an 8-Day ICU Length of Stay to Qualify for LTCH-PPS Payments

Posted by Jason Greis on February 11, 2014 under Articles | Be the First to Comment

In January 2014, the Medicare Payment Advisory Commission (MedPAC), a commission that provides non-binding but influential recommendations to Congress on Medicare issues and related payment policies, voted to recommend for Congress to pass legislation requiring an 8-day length of patient stay in an intensive care unit (ICU) of a general acute care hospital before admission to a Long Term Care Hospital (LTCH) would trigger higher reimbursement to LTCHs under the Long-Term Care Hospital Prospective Payment System (LTCH-PPS). Read More...

When MedPAC Speaks Congress Listens: What the Inclusion of MedPAC Health Care Delivery Reform Proposals in Health Care Reform Legislation Means for Physicians

Posted by Jason Greis on March 28, 2010 under Articles | Be the First to Comment

On March 1, 2010, the Medicare Payment Advisory Commission (“MedPAC” or the “Commission”) released its 2010 Report to the Congress: Medicare Payment Policy (the “Final Report”) recommending annual Medicare payment updates for Medicare fee-for-service (“FFS”) payment systems, including among others, hospitals (including both general acute care and long term care hospitals) and physicians.  MedPAC is an independent congressional agency established by the Balanced Budget Act of 1997 to formulate recommendations to Congress to address quality and cost-containment issues affecting the Medicare program and its beneficiaries.  Two reports, issued in March and June each year, are the primary outlets for MedPAC’s policy and payment system updates, which change base rates paid by Medicare for a unit of service provided by a FFS provider—for example, a hospital admission or a physician visit or procedure.  Recommended payment system updates are based on an assessment of payment adequacy that takes into account beneficiaries’ access to care, supply of providers, quality of care, providers’ access to capital and Medicare margins.  Read More...

MedPAC Releases 2010 Final Report Recommending Payment Updates for LTACHs and other FFS Providers

Posted by Jason Greis on March 1, 2010 under Articles | Be the First to Comment

On March 1, 2010, the Medicare Payment Advisory Commission (“MedPAC” or the “Commission”) released its 2010 Report to the Congress: Medicare Payment Policy (the “Final Report”).  The purpose of the Final Report is to recommend annual Medicare payment updates for the following nine Medicare fee-for-service (“FFS”) payment systems:  hospitals, physicians, ambulatory surgery centers, outpatient dialysis services, hospices, skilled nursing facilities, home health services, inpatient rehabilitation facility services and long-term acute care hospital services.  Read More...

GreisGuide to LTACHs Newsletter (November/December 2009)

Posted by Jason Greis on December 16, 2009 under eNewsletter | Be the First to Comment

This issue of the GreisGuide to LTACHs Newsletter contains articles and information on: Read More...

MedPAC to Recommend Forgoing LTACH Reimbursement Rate Update for 2011 Rate Year: Projects 5.8% Medicare Margin for 2010 Rate Year

Posted by Jason Greis on December 14, 2009 under Articles | Be the First to Comment

On Friday, December 11, 2009, the Medicare Payment Advisory Commission (“MedPAC”) released its draft recommendation to the Secretary of Health and Human Services (“HHS”) to forgo any market basket update to payment rates for long-term acute care hospitals (“LTACH”) for the 2011 rate year (“RY”) (see meeting transcript).  MedPAC found that profit margins on Medicare cases averaged 3.4% during RY 2008 and projected that Medicare margins will increase, on average, to 5.8% in RY 2010 with expected improvements in documentation and coding and recent changes to an updated classification system (i.e. MS-LTC-DRGs). Read More...

The American Recovery and Reinvestment Act Makes Technical Corrections to the MMSEA Favorable to LTACHs

Posted by Jason Greis on February 21, 2009 under Articles | Be the First to Comment

On February 17, 2009 President Obama signed into law a $787 billion economic stimulus package called the American Recovery and Reinvestment Act (Act).  The Act provides $13 million in funding for LTACHs by making important technical corrections to the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) impacting application of the “25% Rule” and to rules generally placing a three-year moratorium on the establishment and classification of new LTACHs, LTACH satellite facilities and LTACH beds in existing LTACHs or satellite facilities.  Read More...