Long-term-care hospitals (LTCHs) provide hospital-level care for medically complex, long-stay patients. LTCHs meet the same requirements as general acute-care hospitals, but have significantly longer average lengths of stay of 25 days or greater. LTCHs may be freestanding facilities or be co-located within hospitals, and treat a wide variety of conditions, including respiratory failure with ventilator dependency, infections, complex wounds and trauma.
CHA provides state and federal representation and advocacy in the legislative and regulatory arenas to improve access to quality, cost-effective long-term health care services.
The Centers for Medicare & Medicaid Services (CMS) has released the attached list of measures under consideration for adoption in future Medicare rulemaking, as required by the Affordable Care Act (ACA). The Measures Application Partnership (MAP), convened by the National Quality Forum (NQF), will review the list and provide recommendations to CMS through a process that allows multiple stakeholders the opportunity to weigh in on measure selection before rules are finalized. For the first time in three years, the MAP will allow the public to comment prior to the beginning of its workgroups and coordinating committee meetings. The early public comment period ends on Dec. 9. In addition, as in previous years the public will have an opportunity to comment on the MAP’s recommendations to CMS, to be issued in January.
The Centers for Medicare & Medicaid Services (CMS) will conduct a special open door forum on Thursday, Nov. 21 from 10-11:30 a.m. (PT), addressing the quality reporting program (QRP) for long-term care hospitals (LTCHs). The forum’s purpose is to provide updated data collection and submission information to LTCH providers for fiscal year 2016 and the 2017 payment update determination. The forum will also feature a number of frequently asked questions and answers related to the QRP, and CMS invites questions and comments from stakeholders.
To participate, call (866) 402-6263 and enter conference ID 94517614.
The Centers for Medicare & Medicaid Services (CMS) is seeking input from inpatient rehabilitation facilities (IRFs) and long-term care hospitals (LTCHs) regarding implementation of new quality reporting programs (QRPs) for those settings. On behalf of CMS, Health Care Innovation Services is requesting that IRF and LTCH providers participate in brief interviews to help better understand the burdens imposed on providers, how providers ensure accuracy of data, how the QRP has impacted patient services and outcomes, and what CMS can do in the future to improve the program and processes.
Interviews will be conducted by telephone, and reports or supplemental documents submitted to CMS will not link specific answers to any specific providers. Anyone interested in participating for either the IRF or the LTCH QRP should contact Pat Hanson at firstname.lastname@example.org.
The U.S. House of Representatives Ways and Means Committee has released draft legislation that includes several provisions affecting payment policy for post-acute care (PAC) services. The committee held a hearing on the topic on June 14.
The latest legislative proposals mirror PAC proposals put forth by President Obama in his FFY 2014 budget, as well as discussions by Simpson-Bowles and the Bipartisan Policy Commission. The committee’s draft legislation specifically addresses the following changes:
Reducing market basket updates for home health agencies, skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs) and long-term care hospitals;
Creating site-neutral payments between IRFs and SNFs for certain procedures;
Modifying the criteria required for IRF status (the so-called “75 percent rule”);
The Centers for Medicare & Medicaid Services (CMS) has issued the final rule for the long-term care hospital (LTCH) prospective payment systems (PPS) for federal fiscal year (FFY) 2014. Under the provisions of the LTCH final rule, CMS estimates that payments to LTCHs will increase by 1.3 percent, as compared to FFY 2013. CMS also finalizes a proposal to phase in the full “25 percent rule,” starting with cost reporting periods beginning on or after Oct. 1, 2013. In addition, CMS confirms its plans to continue with research on a FFY 2015 proposal that would dramatically reduce LTCH payments by excluding patients who do not meet certain clinical criteria. CMS also finalizes proposals for changes and additions to the LTCH Quality Reporting Program (QRP), including adding three new measures for the 2017 LTCH QRP and one new measure for 2018.
Recordings of recent conference calls held by the Centers for Medicare & Medicaid Services on the quality reporting programs for inpatient rehabilitation facilities (IRFs) and long-term-care hospitals (LTCHs) will be available July 30 through Aug. 1. Facilities may access the calls by dialing (855) 859-2056, and using conference IDs 13189170 for IRFs and 13198135 for LTCHs. As mandated by the Affordable Care Act, IRF and LTCH quality reporting programs will begin Oct. 1.