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The IMPAC ACT “Spending per Beneficiary” Measure Will Consist of Hospice Payments

Posted on Wednesday, July 13, 2016 2:08 PM

The Improving Post-Acute Care Transformation Act of 2014 (IMPACT Act) has led CMS to work on the development of cross-cutting measures associated to post-acute care providers (home health agencies, skilled nursing facilities, inpatient rehabilitation facilities, and long term care hospitals).

The following dates must be taken into consideration:
• Beginning October 1, 2016, the Medicare Spending Per Beneficiary -- Post-Acute Care (MSPB-PAC) measures will be relevant for PAC providers
• Beginning January 2017, home health providers will be subject to the MSPBPAC measure

The MSPB-PAC measures were created by Acumen LLC with the objective of “support[ing] public reporting of resource use in all four PAC provider settings as well as to provide actionable, transparent information to support PAC providers’ efforts to promote care coordination and improve the efficiency of care provided to their patients.”

Once the draft was published for the MSPB-PAC measures in early 2016, CMS requested observation on several issues, including the planned inclusion of hospice occurring during a defined post-acute “episode” time frame as “associated services.”

NAHC and other hospice stakeholders expressed concern about the inclusion of hospice as an “associated service.”

CMS and Acumen responded to the concern by intending to include hospice as an “associated service” under the MSPB-PAC measure, while proposing to risk adjust.

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