NAHC Submits Statement for the Record for Recent House Energy and Commerce Hearing
May 27, 2014 09:27 AM
The United States House of Representatives Energy and Commerce Health Subcommittee recently held a hearing entitled, “Keeping the Promise: Site of Service Medicare Payment Reforms.” The National Association for Home Care and Hospice submitted a statement for the record that illustrates the homecare and hospice community’s positions on some of the key issues affecting Medicare payment reform.
Excerpts from NAHC’s statement are below:
“[NAHC agrees] with the Chairman and Ranking Member that we should find the right reforms in post-acute care (PAC) that can both improve care for today’s seniors and help extend the fiscal viability of the program well into the future.
Many studies have found that home health care can prevent expensive hospitalizations and nursing home stays while providing cost effective care in the home setting that people prefer, keeping families together and preserving individual dignity. Our members are participating in the new innovations and demonstration projects with enthusiasm and good ideas, seeking greater efficiency while providing high quality services in the home. We pledge to continue to be good partners in finding solutions.
Significant health care delivery reforms are currently being tested that have the potential to alter how and where patients receive care. Overall, many of these reforms shift the focus of care from inpatient services and institutional care to the community setting. Further, these reforms provide a combination of incentives to clinically maintain patients in their own homes and penalties for excessive re-hospitalizations of patients.
Importantly, these reforms also focus on individuals with chronic illnesses, providing support for health care that prevents acute exacerbations of their conditions and avoids both initial and repeat hospitalizations.
We believe the demonstration projects testing many new integrated care models and payment structures will provide valuable guidance on how to reform the post acute care system. We also appreciate that the “Bundling and Coordinating Post-Acute Care Act of 2014” (BACPAC) offers a model that adds to the dialogue on how to reform post acute care.
NAHC’s statement for the record then details some of the organization's recommendations and justifications for the following approaches to Medicare payment reform:
Post-Acute Community Based Care Bundling: Improving Care Transitions and Maximizing PAC
Value-Based Purchasing Proposal: Improving Performance & Achieving Savings
Telehealth Risk-Sharing Proposal: Reducing Inpatient Care through Technology
Home-based Chronic Care Model – Integrated Care Model
To read NAHC’s full statement on Medicare payment reforms, please click here.
For more on the recent Energy and Commerce hearing, including a webcast of the full hearing, please click here.