Thursday, January 21, 2021
Home Latest News Quality/Safety News MedPAC Releases Recommendations to Congress

MedPAC Releases Recommendations to Congress

At the January meeting, the Medicare Payment Advisory Commission (MedPAC) recommended that Congress increase the rate for hospital inpatient and outpatient prospective payment systems (PPS) by 2 percent in federal fiscal year (FFY) and calendar year (CY) 2020.

The commission also recommended consolidating the Hospital Value-Based Purchasing, Hospital Readmissions Reduction, and Hospital-Acquired Conditions Penalty programs into a new Hospital Value Incentive Program (HVIP). The Inpatient Quality Reporting Program would also be eliminated. The difference between the recommended update and the amount specified under current law would be redirected to the HVIP.

Other recommendations include:

  • Increase the long-term care hospital rate by 2 percent in 2020.
  • Increase the inpatient rehabilitation facility rate by 5 percent in 2020.
  • Eliminate the FFY 2020 update for skilled-nursing facilities (SNFs), revise the SNFPPS, and annually recalibrate the relative weights of the case-mix groups to maintain alignment of payments and costs.
  • Increase the CY 2019 Medicare payment rates for physician and other health professional services by the amount specified in current law, require nurse practitioners (NPs) and physician assistants (PAs) to bill the Medicare program directly, eliminate “incident to” billing for services they provide, and refine Medicare’s specialty designations for NPs and PAs.
  • Eliminate the CY 2020 update to the Medicare conversion factor for ambulatory surgical centers (ASCs) and require ASCs to report cost data.
  • Reduce FFY 2019 rates for hospice providers by 2 percent.

MedPac’s next public meeting is scheduled for March 7-8, 2019.​

Stay Connected

Unified Voice Newsletter

Events This Month

january

21jan12:00 pm1:00 pmWebinar: PDGM Tips and Utilization Strategies12:00 pm - 1:00 pm CST Event Type :Education Events,Webinar

21jan12:00 pm1:00 pmCOVID-19 Visitation Practices for Hospitals and Health Systems12:00 pm - 1:00 pm CST Event Type :Education Events,Webinar

21jan12:30 pm1:30 pm2-Part Webinar Series: Optimizing Therapy Services Considering COVID Challenges12:30 pm - 1:30 pm CST Event Type :Education Events,Webinar

22jan11:00 am1:00 pmHome Care Industry Legal Update Webinar11:00 am - 1:00 pm CST Event Type :Education Events,Webinar

26jan2:00 pm3:00 pmA Post-Election Regulatory Update on 340B2:00 pm - 3:00 pm CST Event Type :Education Events,Webinar

X

Select list(s) to subscribe to


By submitting this form, you are consenting to receive marketing emails from: SDAHO, 3708 W Brooks Place, Sioux Falls, SD, 57106, http://sdaho.org. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact