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.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the American Medical Directors AssociationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Can home-based primary care drive integration of medical and social care for complex older adults?.J Am Geriatr Soc. 2019; 67: 1333-1335
- Integrated home- and community-based services improve community survival among independence at home Medicare beneficiaries without increasing Medicaid costs.J Am Geriatr Soc. 2019; 67: 1495-1501
- Clarifying the new opportunities for HCBS providers under Medicare Advantage plans.(Available at:)https://www.leadingage.org/regulation/clarifying-new-opportunities-hcbs-providers-under-medicare-advantage-plansDate accessed: July 17, 2019
- Hospital at Home-Plus: A platform of facility-based care.J Am Geriatr Soc. 2019; 67: 596-602
- Medicare Advantage Chronic Special Needs Plan boosted primary care, reduced hospital use among diabetes patients.Health Aff. 2012; 31: 110-119
- Special Needs Plans and the coordination of benefits and services for dual eligibles.Health Aff. 2009; 28: 136-146
- Post-Acute Quality Initiatives: The Continuity Assessment Record and Evaluation (CARE) item set.(Available at:)https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/CARE-Item-Set-and-B-CARE.htmlDate: 2015Date accessed: January 8, 2016
- Prevention of functional decline by reframing the role of nursing homes?.J Am Med Dir Assoc. 2017; 18: 105-110
- Research priorities in post-acute and long-term care: Results of a stakeholder needs assessment.J Am Med Dir Assoc. 2019; 20: 911-915
Article info
Publication history
Published online: March 17, 2020
Footnotes
Funding sources: This was supported by the National Institute on Aging (Grant 1 R13 AG058386-01A1).
The authors declare no conflicts of interest.
Identification
Copyright
Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
ScienceDirect
Access this article on ScienceDirectRelated Podcast
August 18, 2020
August 2020 Issue
Featuring Dr. Philip Sloane, Dr. Mallory Brown; Recorded: August 27, 2020
https://mcdn.podbean.com/mf/download/u37xz5/aug2020.mp3
Loading ...
