LANE KOENIG

Long term care hospital relief on high-cost outlier and dual-payment rate policy

HR 9125 Patient Access to LTCH Care Act FY 2026 Hospital Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System Proposed Rule

HR 9125 Patient Access to LTCH Care Act Medicare Advantage

HR 9125 Patient Access to LTCH Care Act Medicare Advantage

HR 9125 Patient Access to LTCH Care Act

- Patient Access to LTACH Care Act - CMS 1808-P Medicare and Medicaid Programs and the Children's Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes; Proposed Rule

- Patient Access to LTACH Care Act

- "Patient Access to LTACH Care Act

- Medicare Advantage - Proposed legislation related to Long-Term Care Hospitals

Proposed Rule: Medicare Program; Proposed Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Provider and Supplier Disclosure of Ownership Extension of the site-neutral waiver at end of public health emergency

Extension of the site-neutral waiver at end of public health emergency

H.R. 8580, The Long Term Care Hospital (LTCH) Access and Stability Act

H.R. 8487, Improving Seniors Timely Access to Care Act of 2022 H.R. 8580, The Long Term Care Hospital (LTCH) Access and Stability Act

Notice of Proposed Rulemaking: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2023 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Costs Incurred for Qualified and Non-Qualified Deferred Compensation Plans; and Changes to Hospital and Critical Access Hospital Conditions of Participation

(1) Medicare Advantage(MA)--Denial of prior-authorization requests for admission to LTCH during the COVID-19 public health emergency. (2) Public Health Emergency expiration

(1) Medicare Advantage (including HR. 3173/S.3018); (2) TRIA Act of 2021 (HR 2455)

(1) Resetting the Impact Act of 2021 or TRIA Act of 2021 H.R. 2455; (2) Medicare Advantage prior authorization; (3) COVID-19 Public Health Emergency waivers

Medicare Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2022 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Proposed Changes to Medicaid Provider Enrollment; and Proposed Changes to the Medicare Shared Savings Program

Medicare Advantage

- COVID-19 relief and related policies - HR 8826 - The Resetting the Impact Act (TRIA) of 2020

Preparing comments in response to Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2021 Rates; Quality Reporting and Medicare and Medicaid Promoting Interoperability Programs Requirements for Eligible Hospitals and Critical Access Hospitals

Preparing comments in response to Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2021 Rates; Quality Reporting and Medicare and Medicaid Promoting Interoperability Programs Requirements for Eligible Hospitals and Critical Access Hospitals

Impact of new patient-level criteria on LTCHs Waiver requests and clarifications related to COVID-19

Access to LTCHs for Medicare Advantage beneficiaries; Unified Post-Acute Care Prospective Payment System

Submitted comments in response to CY 2020 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Proposed Rule (CMS-1717-P) Submitted comments in response to CMS-6082-NC Request for Information; Reducing Administrative Burden to Put Patients Over Paperwork Access to LTCHs for Medicare Advantage beneficiaries; Unified Post-Acute Care Prospective Payment System; Impact of new patient-level criteria on LTCHs; Value-Based Purchasing

Submitted comments in response to Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2020 Rates; Proposed Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Promoting Interoperability Programs Proposed Requirements for Eligible Hospitals and Critical Access Hospitals. Access to LTCHs for Medicare Advantage beneficiaries The Improving Medicare Post-Acute Care Transformation Act of 2014 or IMPACT Act of 2014 (HR 4994).

- Unified Post-Acute Care Prospective Payment System

- Access to LTCHs for Medicare Advantage beneficiaries - Unified Post-Acute Care Prospective Payment System - Impact of new patient-level criteria on LTCHs - Value-based purchasing

- Access to LTCHs for Medicare Advantage beneficiaries - Implementation of the Improving Medicare Post-Acute Care Transformation Act of 2014 or IMPACT Act of 2014 (HR 4994).

Developed and submitted comments in response to Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2019 Rates; Proposed Quality Reporting Requirements for Specific Providers; Proposed Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs (Promoting Interoperability Programs) Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Medicare Cost Reporting Requirements; and Physician Certification and Recertification of Claims

1. Access to appropriate level of care for patients with severe wounds 2. Access to long-term care hospitals for Medicare Advantage beneficiaries 3. Unified Post-Acute Care Prospective Payment System 4. Impact of new patient-level criteria on long-term care hospitals

1. Centers for Medicare & Medicaid Services: Innovation Center New Direction Request for Information 2. Long-term Care Hospital Prospective Payment System Twenty-Five Percent Threshold Rule

1.Medicare Red Tape Relief Project 2.Medicare Advantage 3.Medicare Coverage of Severe Wounds in Long-Term Care Hospitals

Developed and submitted comments in response to FY 2018 Proposed Rule for Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2018 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Electronic Health Record (EHR) Incentive Program Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Provider-Based Status of Indian Health Service and Tribal Facilities and Organizations; Costs Reporting and Provider Requirements; Agreement Termination Notices Medicare Advantage

H.R.3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015

H.R.5713 - Sustaining Healthcare Integrity and Fair Treatment Act of 2016 H.R.3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015

H.R.5713 - Sustaining Healthcare Integrity and Fair Treatment Act of 2016 H.R.3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015

-Developed and submitted comments in response to FY 2017 Proposed Rule for Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2017 Rates; Quality Reporting Requirements for Specific Providers; Graduate Medical Education; Hospital Notification Procedures Applicable to Beneficiaries Receiving Observation Services; and Technical Changes Relating to Costs to Organizations and Medicare Cost Reports -Developed and submitted comments in response to Medicare Program; Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals Required by the Consolidated Appropriations Act, 2016; Modification of Limitations on Redesignation by the Medicare Geographic Classification Review Board

- HR 1250/S 1211- To amend title XVIII of the Social Security Act to provide that payment under the Medicare program to a long-term care hospital for inpatient services shall not be made at the applicable site neutral payment rate for certain discharges involving severe wounds, and for other purposes - Patient criteria for long-term care hospitals - The Improving Medicare Post-Acute Care Transformation Act of 2014 or IMPACT Act of 2014 (H.R. 4994) - S.2108 - A bill to amend title XVIII of the Social Security Act to provide for an extension of certain long-term care hospital payment rules and the moratorium on the establishment of certain hospitals and facilities.

- HR 1250/S 1211- To amend title XVIII of the Social Security Act to provide that payment under the Medicare program to a long-term care hospital for inpatient services shall not be made at the applicable site neutral payment rate for certain discharges involving severe wounds, and for other purposes - Patient criteria for long-term care hospitals - The Improving Medicare Post-Acute Care Transformation Act of 2014 or IMPACT Act of 2014 (H.R. 4994)

- HR 1250/S 1211- To amend title XVIII of the Social Security Act to provide that payment under the Medicare program to a long-term care hospital for inpatient services shall not be made at the applicable site neutral payment rate for certain discharges involving severe wounds, and for other purposes - Patient criteria for long-term care hospitals

- Develop and submit comments in response to FY 2016 Proposed Rule for Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, Including Changes Related to the Electronic Health Record Incentive Program - HR 1250 - To amend title XVIII of the Social Security Act to provide that payment under the Medicare program to a long-term care hospital for inpatient services shall not be made at the applicable site neutral payment rate for certain discharges involving severe wounds, and for other purposes - Patient criteria for long-term care hospitals

- HR 1250 - To amend title XVIII of the Social Security Act to provide that payment under the Medicare program to a long-term care hospital for inpatient services shall not be made at the applicable site neutral payment rate for certain discharges involving severe wounds, and for other purposes - Patient criteria for long-term care hospitals

Discussions of possible modifications to LTCH criteria specified in Pathway for SGR Reform Act.

Pathways for SGR Reform Act

1. H.R. 4494 Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) 2. CMS-1067-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Fiscal Year 2015 Rates; Proposed Rule (Vol. 79, No. 94), May 15, 2014

(1) Draft legislation: Bundling and Coordinating Post-Acute Care (BACPAC) Act of 2014 (2) P.L. 113-93 Protecting Access to Medicare Act of 2014 (3) Grandfathered Long-Term Care Hospital (LTCH) Status

Medicare policy affecting long-term care hospitals