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Engaging 2008 Debate, Key Long Term Care Advocacy Groups Offer New Plan to Strengthen Nation's Long Term and Post-Acute Care Delivery System
Date:1/15/2008

ts, and new LTC savings accounts -- which individuals are incentivized to purchase in order to cover future LTC costs.

New Medicare Post-Acute Payment System Featuring Updated Patient Assessment Tools

The Centers for Medicare and Medicaid Services (CMS) will implement a new Medicare post-acute payment system based on the condition, needs and characteristics of the patient, regardless of the site where care is delivered, thus further encouraging and enhancing consumer choice. A post-acute patient assessment tool will replace the existing site-specific model and will assist in determining patient placement, care plan development, continued stay and discharge decision-making, development of quality indicators, and payment calculation. The new Medicare payment model and patient assessment will replace the current system for which each site of care has its own reimbursement system determined by varying types of patient classifications. The three long term care leaders noted and praised the fact CMS has already initiated a multi-state pilot program evaluating the care Medicare beneficiaries receive after being discharged from a hospital, and how the federal government pays for that care. Currently, they noted, Medicare pays for beneficiaries' care based on where the beneficiary receives health care services, not the nature of the care itself.

Yarwood, Rosenbloom and Kyllo also praised the work and recommendations of the recently-concluded National Commission for Quality Long Term Care (NCQLTC) headed by former U.S. Senator Bob Kerrey (D-NE) and former House Speaker Newt Gingrich (R-GA), and noted one of its key findings provides a strong rationale for the consumer education component of the plan released today.

An NCQLTC survey found 34% of Americans believe most long term care is paid for by Medicare, 20% believe most long term care is paid for by Medicaid (in fact the largest source of funding, accounting for 49% of long term care spend
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SOURCE American Health Care Association
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