New ACO Model May Have Positive Post-Acute Impact

Earlier today, we informed you about CMS’ new Next Generation ACO Model. According to CMS officials, the new model may be beneficial for those trying to offer the best post-acute setting for seniors, specifically for reducing hospital admissions. CMS officials say the model could have a very positive effect on the post-acute arena because it incentivizes providers to keep the person from being readmitted to the hospital. Instead, the model encourages providers to keep people in the skilled nursing facility until they are ready to go home. Furthermore, the program would let beneficiaries “enter skilled nursing care without prior hospitalization” and includes modifications “to expand the coverage of telehealth and post-discharge home services to support coordinated care at home.” These new rules would prevent beneficiaries from potentially falling into the observation stay trap, and avoid returning to the hospital after being discharged from a SNF.

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