Significant health care reforms resulting from the Improving Medicare Post-Acute Care Transformation Act (IMPACT Act) and Protecting Access to Medicare Act (PAMA) have important implications for patient selection, payment, and outcomes. These reforms promote new relationships between clinical care sites through joint accountability for costs and development of standard outcomes. The reforms also place a new emphasis on clinical outcomes—such as reducing hospital readmissions—as a part of new value-based payment models. This new landscape for post-acute care (PAC) provides an opportunity to improve the quality of care for older adults through alignment of policy reforms with research and practice in PAC. However, hospitals and PAC providers often struggle to keep pace with reforms and have limited ability to share and disseminate best practices. In fact, industry, policy, and academic conferences occur independently, with different audiences, even though the themes discussed bridge clinical arenas. Conferences that unite the different stakeholders invested in PAC are needed to enable new directions in the field.
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Published online: March 17, 2020
Funding sources: This was supported by the National Institute on Aging (Grant 1 R13 AG058386-01A1).
The authors declare no conflicts of interest.
Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
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August 18, 2020
August 2020 Issue
Featuring Dr. Philip Sloane, Dr. Mallory Brown; Recorded: August 27, 2020