MedPAC Recommends Equal Payment for IRFs and SNFs for 17 Conditions

November 15, 2014
Rick Gawenda

During their November 7, 2014 meeting, the Medicare Payment Advisory Commission (MedPAC) provided a presentation on site-neutral payments for select conditions (17 conditions) treated in inpatient rehabilitation facilities and skilled nursing facilities. The 17 conditions were a mix or orthopedic, pulmonary, cardiac and infections. These conditions accounted for 10% of IRF cases and spending.

A previous June 2014 report looked at joint replacement and hip and femur procedures and found that the majority of these patients were treated in the SNF setting. IRF outcomes for these conditions compared with SNF outcomes found:

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