Long-Term Care and Rehabilitation

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.

About the Section for Long-term Care and Rehabilitation Membership

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...

Related Resources

Advisory
Member
This advisory covers highlights of the rule's LTCH-related provisions.
Special Bulletin
Member
The Centers for Medicare & Medicaid Services (CMS) April 27 issued proposed rules for the inpatient rehabilitation facility (IRF) and skilled n
Special Bulletin
Member
Highlights of the rule are reviewed in the AHA Special Bulletin.
Letter
Public
Letter
Public
American Hospital Association's comments on MedPAC's draft recommendations for fiscal year 2018..
Letter
Public