The Medicare Payment Advisory Comission recently met with APTA to discuss a series of 4 recommendations. They urged the comission to reconsider a self-referral law that typically encourages physician owned physical therapy practices. You can find the full article below.
Visit APTA’s Issue in Focus to get handouts highlighting how health care reform will affect PT’s.
House of Representatives passed legislation that would repeal the Patient Protection and Affordable Care Act (PPACA). The legislation now will move to the Senate. It is likely that the bill will not even be brought to the floor for consideration.
As a part of essential health benefits to be established under the Health Care Exchanges it is important that the IOM consider benefits’ coverage decisions based on effectiveness over cost. and determine essential health benefits based on a national standard of evidence-based medicine divorced from politics and policymakers’ influence.
With the addition of Hawaii, 46 states now give patients the ability to get an evaluation from physical therapists without having to get a referral from their doctor.
Workign together a number of assocaitions provided the governor with “concrete suggestions” including alternative cuts that gave Washington’s governor the information she needed to restore therapy to the Medicaid budget.
The legislation recently stopped the 24.9% payment cut from occurring on January 1, 2011. However, CMS announced that the conversion factor used to update payment for next year will be $33.9764 instead of the $36.8729 conversion factor that was in effect in 2010.
An Accountable Care Organization (ACO), is an organization of health care providers that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it. APTA argues that PTs should be included in the ACO model in order to continue quality of care throughout different treatment settings.