NAHC Submits Comments on the MSPB IMPACT Act Measure
February 4, 2016 10:09 AM
The Centers for Medicare & Medicaid Services (CMS) announced a call for public comments on the draft specifications for the Medicare Spending Per Beneficiary-Post-Acute Care (MSPB-PAC) measure on January 13, 2016.
The Improving Post-Acute Care Transformation Act of 2014 (IMPACT Act) authorizes the Secretary to develop resource use measures, including total estimated Medicare spending per beneficiary in post-acute care (PAC) settings: skilled nursing facilities (SNFs), home health agencies (HHAs), long-term care hospitals (LTCHs), and inpatient rehabilitation facilities (IRFs). The IMPACT Act stipulates that the MSPB-PAC measure should align with the hospital MSPB measure in certain ways.
In addition, the MSPB-PAC measures must be implemented according to the following statutorily mandated timelines: October 1, 2016, for SNF, LTCH, and IRF Quality Reporting Programs (QRPs), and January 1, 2017, for the HHA QRP.
The National Association for Home Care & Hospice (NAHC) has concerns with the draft specifications as they relate to the proposed episode construct for attributing cost to the provider. In addition, NAHC is very concerned with using MSPB in isolation as a measure for quality and efficiency. Comments on the denominator, risk adjustment model, and testing and validating the measure are also addressed.
CMS has extended the deadline for comments until 2/5/2016
To view the draft measure specifications click here.
To view the comments click here.