Legislation to create a Medicare value-based purchasing program for post-acute care “is too narrowly focused on cutting provider payment rather than promoting ‘value’,” AHA said in a letter today to leaders of the House Ways and Means Committee. “AHA members are deeply engaged in efforts to provide more accountable care that delivers greater value,” wrote AHA Executive Vice President Tom Nickels. “However, by using only the [Medicare spending per beneficiary] measure, the PAC VBP program appears focused on only the cost side of the value equation…Without a more balanced, budget neutral approach that includes an assessment of quality, the PAC VBP program appears to function as a mechanism to cut provider payments in perpetuity, rather than primarily as a way to promote value.” The program would withhold 3% of post-acute care payments in FY 2020, rising to 8% in FY 2025 and beyond, which AHA said is “too high” and “out of step with other Medicare VBP programs.” In addition, the proposed scoring methodology “would tie too much of an individual provider’s performance to the actions of other providers that are beyond their control,” AHA said.

Related News Articles

Blog
Policymakers should provide a stable environment for post-acute care providers to implement existing reforms and evaluate their impact, writes Jim Prister, CEO…
Perspective
America’s hospitals and health systems are committed to improving post-acute care — and patient outcomes — while ensuring changes to the system have the…
Headline
The Centers for Medicare & Medicaid Services today released its home health prospective payment system proposed rule for calendar year 2020.
Headline
The AHA today on Capitol Hill convened a panel of post-acute care leaders to brief lawmakers and their staff about the value these facilities provide to…
Headline
The Centers for Medicare…
Headline
The Centers for Medicare…