CHA News Article

U.S. House, Senate Committees Unveil Draft to Reform Post-Acute Payments

Members of the Senate Finance and House Ways and Means committees have released a bipartisan discussion draft of a bill that would require standardized assessment data as a first step in reforming the post-acute care payment system. The bill, as drafted, would require the collection and analyses of assessment data so Medicare can compare quality across the different settings, as well as require hospitals to report patient assessment data gathered prior to discharge. The Medicare Payment Advisory Commission (MedPAC) and the Department of Health and Human Services would be required to send reports to Congress by 2022 using the assessment data to create new payment system prototypes.

The discussion draft comes in response to years of MedPAC recommendations calling for post-acute payment reform. Leaders from both committees have indicated they will continue to work with stakeholders to improve the draft before introducing it as legislation. In response to previous requests from congressional committees, CHA submitted comments last year about post-acute care payment reform, including a discussion of guiding principles and feedback on the Centers for Medicare & Medicaid Services’ post-acute care payment reform demonstration, which piloted a standardized assessment tool.