LISA GRABERT

SCHOOL OF NURSING  // 

marquette university

Public Law Number 113-185

The Improving Medicare Post-Acute Care Transformation (IMPACT) Act

For years, Congress and CMS have debated the future of Medicare “post-acute care.” Post-acute care is provided in multiple settings (e.g, nursing homes, rehabilitation hospitals, outpatient clinics), all of which are paid using multiple, varying Medicare reimbursement systems. The IMPACT Act establishes a timeline for these multiple payments to combine into one uniform system.

The Bipartisan Budget Act of 2015

Public Law Number 113-67

The law is a federal statute concerning spending and the budget in the United States, that was signed into law by President Barack Obama on December 26, 2013. The agreement – hammered out by Sen. Patty Murray and then-House Ways & Means Chairman Paul Ryan – represented a rare example of bipartisanship and ended for a time the last-minute, crisis-driven budget battles that had consumed Congress for much of the prior three years.

Medicare Access and CHIP Reauthorization Act of 2015

Public Law Number 114-10

In 2015, Congress eliminated the “Sustainable Growth Rate” (SGR) formula, an unworkable mechanism created in 1997 designed to restrict growth in Medicare Part B spending. From 1997 until 2015, Congress regularly passed legislation – “the doc fix” – to temporarily avert those cuts. Passage of this legislation permanently repealing SGR – in bipartisan fashion – gave providers much needed certainty around payments.

The new law included many policy changes beyond simply repealing SGR. In particular, the law makes significant changes to the way that Medicare pays physicians, thus accelerating Medicare’s shift toward value-based payments.

CONGRESSIONAL

ACHIEVEMENTS

Public Law Number 113-185

The Improving Medicare Post-Acute Care Transformation (IMPACT) Act

For years, Congress and CMS have debated the future of Medicare “post-acute care.” Post-acute care is provided in multiple settings (e.g, nursing homes, rehabilitation hospitals, outpatient clinics), all of which are paid using multiple, varying Medicare reimbursement systems. The IMPACT Act establishes a timeline for these multiple payments to combine into one uniform system.

The Bipartisan Budget Act of 2015

Public Law Number 113-67

The law is a federal statute concerning spending and the budget in the United States, that was signed into law by President Barack Obama on December 26, 2013. The agreement – hammered out by Sen. Patty Murray and then-House Ways & Means Chairman Paul Ryan – represented a rare example of bipartisanship and ended for a time the last-minute, crisis-driven budget battles that had consumed Congress for much of the prior three years.

Medicare Access and CHIP Reauthorization Act of 2015

Public Law Number 114-10

In 2015, Congress eliminated the “Sustainable Growth Rate” (SGR) formula, an unworkable mechanism created in 1997 designed to restrict growth in Medicare Part B spending. From 1997 until 2015, Congress regularly passed legislation – “the doc fix” – to temporarily avert those cuts. Passage of this legislation permanently repealing SGR – in bipartisan fashion – gave providers much needed certainty around payments.

The new law included many policy changes beyond simply repealing SGR. In particular, the law makes significant changes to the way that Medicare pays physicians, thus accelerating Medicare’s shift toward value-based payments.

Security on Campus Starts with You

DATE

Sept. 23, 2023 at 11am

AUTHORED BY

Sept. 23, 2023 at 11am

PUBLISHED BY

Sept. 23, 2023 at 11am