On March 18, 2014, the Senate Finance and House Ways and Means committees unveiled draft legislation, the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), designed to strengthen Medicare’s post-acute care (PAC) services.  Issued as a result of feedback from healthcare stakeholders who underscored their need for uniform data, the goal of the draft legislation is to institute a standardized post-acute assessment tool across Medicare PAC provider settings. 

Highlights of the IMPACT Act include:

  • Reporting of standardized assessment data – reporting across PAC providers of standardized assessment data to be used for patient assessment, quality comparisons, resource use measurement, and payment reform;
  • Hospital reporting of  patient assessment data gathered prior to discharge;
  • Reports with goal of building new payment models – reports to Congress from MedPAC and HHS utilizing PAC assessment data for the creation of actual payment models to be considered for future PAC payment reforms; and
  • Protection of patient choice and access – development of regulations encouraging the use of quality data in discharge planning while continuing to take into account patient choice.

A summary of the draft bill is available here