Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care

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Presents a prototype for a Unified Post-acute Care (PAC) prospective payment system (PPS) that would set payment for PAC services on the basis of the clinical characteristics of the patient rather than the type of provider. Details the structure of the prototype and the data used in the analyses to design and calibrate the PPS. Explores key considerations for unifying PAC payment, such as cost-sharing and value-based payment. Includes data on PAC provider characteristics, including facility size and rural status, as well as rural payment adjustments.

Benjamin Silver, Anne Deutsch, Nicole Coomer, et al.

07/2022

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Centers for Medicare and Medicaid Services, RTI International

Critical Access Hospitals · Healthcare facilities · Home health · Hospitals · Long-term care · Medicare · Policy · Post-acute care · Reimbursement and payment models · Rural-urban differences · Statistics and data