CHA News Article

House Ways and Means Health Subcommittee Hears Testimony on Post-Acute Care Reforms

The U.S. House of Representatives Ways and Means Subcommittee on Health held a hearing June 14 on proposals to reform post-acute care under the Medicare program. The committee heard testimony from Jonathan Blum, deputy administrator and director for the Center of Medicare at the Centers for Medicare & Medicaid Services (CMS) and Mark Miller, executive director of the Medicare Payment Advisory Commission (MedPAC).

The hearing focused on a number of proposals to reform post-acute care in the President’s federal fiscal year (FFY) 2014 budget. Of particular interest to CHA members are CMS comments about the use of various components of the CARE tool, described by CMS as a universal patient assessment tool that shows promise and is currently being tested in the four bundling pilots. In a discussion regarding the implementation of the CARE tool, CMS was asked about the cost to providers for compliance with use of the tool. CMS was urged to take those costs into consideration when testing these new forms of payment.

In addition, MedPAC discussed its recommendations for rebasing and reducing the overall rates for several post-acute care settings. Finally, many members of the subcommittee raised questions about the President’s proposals related to reinstating the 75 percent rule for inpatient rehabilitation facilities and its appropriateness at this time.

Written testimony provided by the witnesses is available at A recording of the hearing is available at