LeadingAge Lends Support to Legislation to Delay Unified PAC Payment System

Legislation | April 30, 2021 | by Nicole Fallon

LeadingAge and the Visiting Nurse Associations of America joined with other post acute care associations in a letter of lending their support for H.R. 2455, The Resetting the IMPACT Act (TRIA) of 2021.

The Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 required data collection and development of a Unified Post Acute Care Payment(UPAC) System prototype and that CMS provide a model to Congress for implementation by 2023.  However, MedPAC proposed moving up this timeline to 2021. This bill would reset those timelines in recognition that several post-acute provider types recently went through significant transitions to new payment models (e.g. RUGS to PDPM) and the effects of the COVID-19 pandemic on these providers. LeadingAge and other post-acute provider associations have expressed concern that the data being used to create a new UPAC prospective payment system may not be an appropriate baseline because it uses pre-PDPM data and COVID-era data may represent an anomaly. In addition, PAC providers are appropriately focused on preventing and/or protecting their residents and patients from COVID-19, leaving them little resource capacity to take on the work of preparing for a new payment system at this time. For these reasons and others, we believe more time needs to be given to both the data collection and prototype development process. H.R. 2455, if passed, could provide the necessary time to get this work right.