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Ensuring LTCHs Can Care for the Nation’s Sickest Patients and Serve Their Communities

The federal agency that oversees the Medicare program (CMS) recently announced a change in the long-term care hospital (LTCH) high-cost outlier payment policy. As a result, LTCHs are being asked to incur greater and greater losses as they care for severely ill patients.
Public

AHA Letter to Reps. Fischbach and Pence Expressing Support of Congressional Review Act (CRA) Resolutions

AHA writes in support of H.J.Res. 139, a joint resolution for congressional disapproval of a rule relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting."
Public

AHA Letter to Senator Lankford Expressing Support of Congressional Review Act (CRA) Resolutions

The AHA writes in support of S.J.Res. 91, a joint resolution for congressional disapproval of a rule relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting."
Public

AHA Statement Before the House Committee on Ways and Means - March 6, 2024

AHA shares the hospital field’s comments on proposed regulations for minimum staffing standards for LTC facilities and their potential impact on access to care.

Fact Sheet: Viable Unified Post-acute Care Payment Model Not Possible Under Current Approach

The unified post-acute care (PAC) payment system required by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 is not on track to protect access to medically necessary PAC services.

Fact Sheet: Long-term Care Hospitals

Long-term care hospitals (LTCHs) serve a critical role within the Medicare program by treating the sickest patients who need extended hospital stays. This important role is under threat as the LTCH field implements the Bipartisan Budget Act of 2013 requirement for “site-neutral” payments for cases with lower acuity. Analyses by the Medicare Payment Advisory Commission (MedPAC) and the AHA highlight the transformative nature of the site-neutral payment policy, which has led to the underpayment of 36 percent of LTCH cases, a more than $1 billion reduction in payments to LTCHs and LTCH closures.