Home Health & Hospice

For post acute care providers, draft payment reforms in the IMPACT Act

Homecare Insider, April 4, 2014

In a bipartisan effort, the Improving Medicare Post-Acute Care Transformation (IMPACT) Act proposal was released in mid-March by the U.S House of Representatives Ways and Means Committee and the U.S. Senate Finance Committee.
The proposal calls for standardized Assessment Data, initially from skilled nursing facilities, home health agencies (HHAs), inpatient rehab (IRFs) and long-term care hospitals (LTCHs) by October 2016, and eventually will include acute hospitals, cancer hospitals, and critical access hospitals by 2019.
The language of the bill acknowledges the existing reporting tools (OASIS and MDS), but this bill requires additional patient data, to include:
·         Functional status
·         Cognitive function
·         Special services
·         Medical conditions
·         Impairment
·         Prior functioning levels
In addition to this required standardized assessment data, there would also be new requirements for quality measure reporting (Jan 1, 2017 for HHAs), that will include functional status changes, skin integrity and changes, medication reconciliation, incidence of major falls and patient preference regarding treatment.