Transforming Post-Acute Care Management: A Proactive Approach
Explore how health plans are transforming post-acute care with proactive management and better risk assessment for improved patient outcomes.
Explore how health plans are transforming post-acute care with proactive management and better risk assessment for improved patient outcomes.
MedPAC's FY 2027 draft recommendation proposes a 7% cut to Medicare base payments for inpatient rehabilitation facilities, reflecting impacts on post-acute care providers and requiring Congressional approval.
MedPAC recommends a 4% cut to Medicare payment rates for skilled nursing facilities in 2027, analyzing post-acute care trends and reimbursement impacts on providers.
CMS's mandatory TEAM model starts in 2026, bundling payments for select procedures and increasing home health utilization. Key insights on risks, preparation, and hospital partnerships for providers.
MedPAC underscores the need for aligning post-acute care payments, reforming Medicare Advantage prior authorizations, and advancing value-based programs in upcoming Medicare policies.
The Medicare Payment Advisory Commission's draft recommendations for 2027 include maintaining hospital service rates, increasing physician payments, reducing post-acute facility rates, and introducing safety-net hospital funding.
Skilled nursing and hospital readiness varies as the CMS-initiated TEAM bundled payment model launches in 2026, impacting post-acute care coordination, financial risk, and value-based contracting in U.S. healthcare.
Trilogy Health Services CMO discusses Medicare Advantage's impact on skilled nursing, focusing on administrative challenges, appeals, and value-based care opportunities. Insights on I-SNP partnerships and payment simplification for providers.
Study reveals Medicare Advantage beneficiaries face longer hospital stays post-pandemic, driven by skilled nursing facility shortages and administrative barriers, impacting healthcare operations and costs.