Leg-Reg Update
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MedPAC – Unified PAC Payment System (U-PAC)<br />
• Need to address payment variations among the 4 PAC payment<br />
systems.<br />
▫ Similar patients treated<br />
▫ Separate payment systems pay differently for similar patients.<br />
▫ Encourages therapy services unrelated to care needs<br />
• Fully implemented U-PAC would redistribute payments among<br />
conditions while total payments to a setting would remain same.<br />
• Draft Recommendation: Congress should direct the Sec to begin<br />
to base Medicare payments on a blend of the setting specific<br />
relative weights and the U-PAC PPS relative weights in FY19.<br />
NASL Winter Conference<br />
February 7, 2018<br />
Washington, DC
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