Hospitals were challenged with Value Based Purchasing (VBP) that was authorized through the ACA in 2010, built on the inpatient quality-reporting infrastructure and initially rewards hospitals with incentive payments for quality of care.
Currently, a national focus and evolving pressure is on the post-acute care (PAC) utilization environment, resulting from both the Impact Act of 2014 (Improving Medicare Post-Acute Care Transformation Act) and the number of CMS alternative payment model pilot programs being tested, creating the opportunity for many hospitals and health systems to strategically identify their referral patterns and determine alignment for the future.
The Impact Act requires standardized and interoperable patient assessment data to create uniformity for comparison across PAC settings, facilitate exchangeability of data and drive improved discharge planning/care transition with predictability regarding the level of care needed, based on the assessment and resource intensity. The new assessment requirement begins in October 2018 and a staggered quality measure reporting timeline begins this year. (more…)