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Advising the Congress on Medicare issues
MedPAC > Recommendations > Implementing a unified payment system for post-acute care

Implementing a unified payment system for post-acute care

June 15, 2017

The Congress should direct the Secretary to:

  • implement a prospective payment system for post-acute care beginning in 2021 with a three year transition;
  • lower aggregate payments by 5 percent, absent prior reductions to the level of payments;
  • concurrently, begin to align setting-specific regulatory requirements; and
  • periodically revise and rebase payments, as needed, to keep payments aligned with the cost of care.

Topics: Delivery system reforms and Post-acute care.