Here are five insights:
1. No guidelines outlining appropriate care for discharged hospital patients exist.
2. The Medicare Payment Advisory Commission reported stark variances in reimbursements between skilled nursing homes, rehabilitation centers and other post-op settings.
3. The federal fiscal budget 2016 has a proposal for packaging payment for defined episodes of care, in the hope of eliminating superfluous costs. It is estimated this could save $9.3 billion over 10 years.
4. Rep. Kevin Brady (R-Texas) led a bill in 2014 that focused on post-acute care in a single payment system. The law calls for data collection of various post-acute care services, starting in 2018.
5. Once the data is collected for two years, the Department of Health and Human Services will present a proposal to Congress on how to establish a post-acute care payment system.
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