Document Category:
State: District of Columbia
Subject Matter: Healthcare Reform
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Preliminary Obama Budget Looks To Medicare Post-Acute Bundling As Option To Fund Health Care Reform

 

WASHINGTON, DC – 2/26/09 – (American Health Care Association) The Senate Finance Committee held a hearing recently in preparation for health care reform. The primary witness was Douglas Elmendorf, Director of the Congressional Budget Office (CBO). He discussed the agency’s report entitled, "Budget Options Volume I: Health Care", which laid out 115 budget options that Congress could elect to use for financing comprehensive health care reform. The Senate Budget Committee also held a hearing on the same topic recently.

Of greatest concern to AHCA/NCAL, and long term care overall, is Option 30, which provides for bundled Medicare payments to hospitals for both acute and post-acute care. To view this specific option, click here http://newsmanager.commpartners.com/ahcamemo/downloads/Option_30__Acute_and_Post_Acute_Bundling_CBO.pdf and to view the entire report click here http://www.cbo.gov/ftpdocs/99xx/doc9925/12-18-HealthOptions.pdf .

Option 30 increases specific Medicare hospital diagnosis-related groups (DRGs) so that funding for any post acute care would be also included, eliminating separate payments to SNFs and other post-acute providers following an inpatient hospital stay. The hospital would receive the entire payment, and be responsible for either providing or contracting for any post acute services that may be necessary within 30 days of discharge, including SNF care, inpatient rehabilitation care, long term care hospital care, home health, and/or hospital-based outpatient rehabilitation. AHCA/NCAL is examining this option closely and will advocate against any loss of autonomy for providers.


Document Author: CBO
Firm/Company: US Government
Document Date: December 2008
Search Tags: Obama 2009 Healthcare Reform
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