Post-acute Care

Post-acute care is a growing and essential health and social service, accounting for more $2.7 trillion spent on personal health care, and, of that, almost 15% of total Medicare spending.

The AHA's nearly 5,000 member hospitals, health systems and other health organizations – includes 3,300 post-acute care providers, including free-standing post-acute hospitals and post-acute units. Post-acute care settings include long-term care hospitals (LTCHs), inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs) and home health agencies. AHA supports enhanced coordination between general acute-care hospitals and post-acute providers to improve overall quality of care and reduce total health spending.

The AHA and its Section for Long-Term Care & Rehabilitation meet the unique needs of post-acute care providers through

  • Representation and advocacy
  • Participation in public policy development
  • Communication, education, and management strategies including specialized education and networking opportunities
  • Collaborating with national organizations to lay the foundation for aligned positions on behalf of post-acute care providers across the continuum of care.

Long-Term Care Hospital PPS

To qualify as an LTCH for Medicare payment, a facility must meet Medicare's conditions of participation for acute care hospitals and have an average inpatient length of stay greater than 25 days. Medicare recognized 436 LTCHs in 2011. In addition to this Web site, AHA members may also ...

Inpatient Rehabilitation PPS

The term is used to denote services provided in inpatient and outpatient settings, ranging from comprehensive coordinated medically based programs in specialized hospital settings to therapies offered in units of hospitals, nursing facilities, or ambulatory centers. Resources found on t...

Skilled Nursing Facility PPS

The Medicare program pays for SNF services through a prospective payment system, with per diem payments set according to a patient's utilization of therapy and nursing services. Read on for more information and resources on payment and quality issues facing the SNF field. Of particular...

Home Health PPS

The BBA put in place the interim payment system (IPS) until the PPS could be implemented. Effective October 1, 2000, the home health PPS replaced the IPS for all home health agencies. The PPS final rule was published on July 3, 2000. In addition to this Web site, AHA members may also b...

Issues Pertaining to Multiple Post-acute Care Settings

Post-acute Care PPS AHA urges CMS, HHS to convene expert panels for post-acute care PPS model Feb. 7, 2018 MedPAC recommends 2019 payment update for hospitals, no PAC update Jan. 12, 2018 A Critique of MedPAC’s Post-Acute Care Prospective Payment System Prototype Model Review and Pol...

Related Resources

Letter
Public
Medicare pays long-term care hospitals less than half the cost of care for site-neutral cases under the LTCH prospective payment system, AHA told CMS.
Factsheet
Inpatient rehabilitation facilities (IRFs) have faced significant scrutiny from Congress and the Centers for Medicare & Medicaid Services (CMS)
Factsheet
Public
Long-term care hospitals (LTCHs) serve a critical role within the Medicare program by treating the sickest patients who need long hospital stays.
Guides/Reports
Public
Post-acute care providers play an essential role in ensuring that patients receive the care they need to heal and have a smooth transition back to
Websites
Public
Post-acute Care PPS AHA urges CMS, HHS to
Letter
AHA comments to provide feedback on the work that the Centers for Medicare & Medicaid Services (CMS) and the Assistant Secretary for Planning a