The Medicare Payment Advisory Commission yesterday recommended that Congress increase Medicare base payment rates for hospital inpatient and outpatient services by 1.25% in 2019, as provided under current law. In other voting, the commission recommended that the Health and Human Services Secretary implement a redesigned skilled nursing facility prospective payment system in 2019 and provide no payment update for SNFs in 2019 and 2020. For other post-acute settings, MedPAC recommended a 5% cut for inpatient rehabilitation facilities in 2020; no update for long-term care hospitals in 2020; a 5% cut for home health agencies in 2019 and a two-year rebasing of the HH payment system beginning in 2020. It also recommended a fiscal year 2019 payment reduction for all four post-acute settings by blending existing relative weights with those from its new post-acute care PPS prototype. Lastly, the commission recommended Congress replace the Merit-based Incentive Payment System for clinicians with a new voluntary value payment program based on population-based measures. The commission also discussed the initial analysis of a congressionally-mandated study examining the impact of the Hospital Readmissions Reduction Program, with a final report due to Congress in June 2018. In comments submitted this week, AHA supported the hospital updates but voiced concerns with the PAC recommendations and called the MIPS proposal “premature and potentially unfeasible.”

Related News Articles

Headline
The Centers for Medicare & Medicaid Services yesterday released a fact sheet for state and local governments seeking Medicare, Medicaid or Children’s…
Headline
Over 1,750 Medicare Part D prescription drug plans and Medicare Advantage plans with prescription drug coverage have applied to offer lower insulin costs…
Headline
The Government Accountability Office today named three new members to the Medicare Payment Advisory Commission through April 2023. They are: Wayne…
Headline
The AHA, along with five other health organizations, today urged Attorney General Bill Barr to join with the Department of Health and Human Services’ Centers…
Headline
More than half of U.S. adults aged 70 and older have experienced a disruption in their medical care during the first month of social distancing for COVID-19,…
Headline
The AHA and other national hospital organizations today urged the Department of Health and Human Services and Centers for Medicare & Medicaid Services to…