Doctors must now meet face-to-face with their patients who are receiving home health care if the patient's visits are to be r...Read more
Medicare Patients Get Less Therapy With New Payment System
- September 20th, 2002
A study by the General Accounting Office (GAO) has found that a system instituted in 1998 to control Medicare's payments to nursing facilities has resulted in patients receiving less care.
In 1998, Medicare implemented a prospective payment system (PPS) for skilled nursing services provided to Medicare beneficiaries. Under the system, Medicare pays skilled nursing facilities (SNFs) a daily rate to cover most skilled nursing and rehabilitation services provided to a patient during each day of a Medicare-covered stay. The rate is adjusted for the patient's expected care needs. The PPS is intended to control the growth in Medicare spending for such services.
One way nursing facilities who are being paid a flat rate can reduce costs is to provide less therapy, which appears to be what is happening. Two years after the PPS was implemented, the majority of patients in Medicare-covered rehabilitation received less therapy than was provided in 1999. The patients categorized into the two most common (high and medium) rehabilitation payment group categories typically received 30 minutes less therapy during their first week of care, a 22 percent decline. Across all rehabilitation group categories, fewer patients received the highest amounts of therapy associated with each group.
To download the GAO report, "Skilled Nursing Facilities: Providers Have Responded to Medicare Payment System by Changing Practices," GAO-02-841 (23 Aug 2002), go to: http://www.gao.gov/new.items/d02841.pdf
Local Elder Law Attorneys in Ashburn, VA
Margaret A. O'Reilly, PC
Margaret A. O’Reilly is an estate planning and elder law attorney with over thirty-five years of legal experience. Attorney O’Reilly graduated from Duke University with a degree in psychology, and received her law degree from Northeastern University School of Law in Boston, Massachusetts. For over 15 y...
Needham Mitnick & Pollack, PLC
Susan Pollack served as Chairperson of the Falls Church Senior Citizens Commission from 1997 to 2011 and was on the Executive Board of the Falls Church Education Foundation. She has also served on the Board of Directors of the Alzheimer’s Association of the National Capital Area and is a member of the Arlington B...
Ron M. Landsman, P.A.
Ron M. Landsman has been practicing elder law since 1983, before it was known as elder law, originally with Landsman and Laster, Washington, D.C., then Landsman, Eakes and Laster, also in Arlington, VA, and since 1990 in his own practice in Montgomery County, Maryland. He has been among the most active members of the...