Post-Acute Care

AAPM&R urges Congress to avoid harmful Medicare savings proposals that would erect arbitrary barriers to rehabilitation in post-acute care settings. Physiatrists treat patients across all post-acute care (PAC) settings, including inpatient rehabilitation hospitals and units, skilled nursing facilities, home health, long-term acute care hospitals, and various outpatient settings.

With access to timely rehabilitation provided in the proper setting, at the appropriate level of intensity and coordination, many patients can regain significant functions lost to illness or injury and live independent, fulfilling lives.  Enactment of the “IMPACT” Act in 2014 set the stage for Center for Medicare & Medicaid Services (CMS) to collect data across PAC settings in order to propose PAC reforms that do not compromise patient care. 

Learn more about Post Acute Care Quality Reporting.

Two bills (H.R. 2502 & H.R. 1458) have recently been introduced in Congress that propose bundling Medicare payment in the post-acute and both the acute and post-acute settings.  Specifically, the bills direct the Department of Health & Human Services (HHS) Secretary to develop requirements for qualified entities to receive bundled payments.  A third bill seeks to amend the Social Security Act to provide for value-based purchasing of post-acute services under the Medicare program and financially reward quality care and innovation within PAC services. ​​