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Advocacy

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.

Members of the House Ways & Means Committee are exploring legislation to amend the Social Security Act to provide for value-based purchasing of post-acute care services under the Medicare program and financially reward quality care and innovation within PAC services.  The Academy recognizes that physiatrists are well-suited to help direct patients to the right setting of care.  Ensuring that PAC payment reform is an evidence-based endeavor is key to navigating the complexities of PAC regulations and payment reform.