Wednesday, May 31, 2017

OIG Releases Compendium of Unimplemented Recommendations

Dianne De La Mare

The Department of Health and Human Services (HHS), Office of Inspector General (OIG), released its Compendium of Unimplemented Recommendations, a core publication focusing on the top 25 unimplemented recommendations that would most positively affect HHS programs in terms of cost savings, program effectiveness and efficiency, and quality improvements. These recommendations subsequently become for the priorities for FY 2018. Important to note for long term and post-acute care facilities are the following unimplemented recommendations:
  1. CMS should change the way Medicare pays SNFs for therapy services to reduce costs and align services with beneficiary need; 
  2. CMS should increase protections for beneficiaries under the “2-midnight policy” that applies to hospitals’ decisions about a beneficiary’s inpatient or outpatient admission status; and
  3. CMS should reform hospice payments to reduce the incentive for hospices to target beneficiaries with certain diagnoses and those likely to have long stays (per a January 2015 report titled "Medicare Hospices Have Financial Incentives To Provide Care in Assisted Living Facilities.")

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