Forum Session

Implementing the BBA: The Challenge of Moving Medicare Post-Acute Services to PPS
July 7, 1999


Karen Matherlee


This Forum session explored the challenge of putting skilled nursing facility (SNF), medical rehabilitation, and home health services under the Medicare prospective payment system (PPS). The session opened with an overview of the challenges faced by the Health Care Financing Administration (HCFA) in implementing the Balanced Budget Act of 1997 provisions for SNF care, medical rehabilitation, and home health services under tight deadlines. The meeting then addressed the effects of the SNF PPS and an interim home health payment system on beneficiaries and changes providers were recommending. It also examined HCFA's progress in developing a PPS for medical rehabilitation, with the announcement made that the agency had chosen a functionally based system for measuring services. Following a discussion of the Medicare Payment Advisory Commission's recommendations for changes in PPS implementation for the three post-acute services, panelists and attendees took a systems perspective in relating the services to the continuum of care.


Thomas E. Hoyer, Director, Chronic Care Purchasing Policy Group, Center for Health Plans and Providers, Health Care Financing Administration; William T. Smith, PhD, President and Chief Executive Officer, Aging in America/Morningside House; Gerben DeJong, PhD, Director, National Rehabilitation Hospital Research Center; Murray N. Ross, PhD, Executive Director, Medicare Payment Advisory Commission

Related Materials

More information available in the accompanying publication, Issue Brief No. 743.

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