Continuum of Care

About Continuum of Care

As California’s population continues to age, they will require more care and resources from hospitals. An aging population will have an impact on not only inpatient demand at acute care hospitals, but also post-acute care, which covers a wide range of medical services that support recovery from illness or management of a chronic illness or disability. Hospitals and health systems are continuing to evolve change their delivery systems to meet the complex needs of aging populations.

CHA Comments to MedPAC on Access to Durable Medical Equipment

CHA has submitted comments to the Medicare Payment Advisory Commission (MedPAC) in response to the commission’s September discussion on the effects of the Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Competitive Bidding Program, urging significant changes to modernize current DME payment and regulatory policy so that it aligns with the goals of value-based payment and reduced regulatory burden.

CMS Issues Final Rule for FFY 2020 Hospice Payment

The Centers for Medicare & Medicaid Services (CMS) has issued its final rule updating hospice payment rates for federal fiscal year (FFY) 2020. CMS finalizes a net payment increase of 2.6%, or $520 million, as compared to FFY 2019. The rule also rebases the rates hospices are paid for certain types of care. In addition, the rule modifies the beneficiary hospice election statement to reduce the time spent trying to obtain information needed for treatment decisions and accurate claims submissions.

CDPH Outlines Alternative Pathway for Obtaining a Hospice License

In All Facilities Letter 19-23, issued last week, the California Department of Public Health (CDPH) outlines an alternative pathway to hospice licensing recently made available through the enactment of Senate Bill 1495 (Chapter 424, Statutes of 2018). Under the bill, CDPH must issue a hospice license to any applicant that meets certain standards, including approval by a Centers for Medicare & Medicaid Services-certified national accreditation organization.

CMS Issues Final PACE Rule

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule revising and updating requirements for Programs for All-Inclusive Care for the Elderly (PACE). PACE provides comprehensive medical and social services to individuals who qualify for nursing home care but can still live safely in the community.

CHA Issues Summaries of IRF, SNF, Hospice PPS Proposed Rules

CHA has issued three summaries, prepared by Health Policy Alternatives, of federal fiscal year 2020 prospective payment system (PPS) proposed rules recently released by the Centers for Medicare & Medicaid Services: the inpatient rehabilitation facility (IRF) PPS, the skilled-nursing facility (SNF) PPS, and the hospice PPS.

Comments on the  IRF rule are due June 17, and comments on the SNF and hospice rules are due June 18. CHA reminds members to register for an upcoming member forum that will address key provisions of the SNF and IRF proposed rules.

Palliative Care Pilot Program Participants Required to Use New Web-Based Reporting Tool

In All Facilities Letter 18-57, the California Department of Public Health announces a new web-based data collection tool intended to assist providers that participate in the Palliative Care Pilot Program with annual reporting. Program participants must submit certain information using this tool by Jan. 1 of each program year. 2018 reports were due Jan. 1, 2019, but the online reporting portal will remain open through March 1.