PAC PPS Prototype

Chris Carey

July 12th, 2021

In this issue, we provide an update on the debate in Washington to consider development of a new, unified post-acute care prospective payment system.

Last month, CMS and RTI convened a two-day Technical Expert Panel (TEP) to gather the input of hospitals and healthcare providers. As part of that TEP, some details of the PAC PPS prototype were unveiled. While many details remain unknown and still in flux, the discussion provided a first look at where CMS is likely to be going with the development of a potential PAC PPS.
Development of a PAC PPS prototype was authorized by the IMPACT Act of 2014. CMS is expected to send the PAC PPS prototype to Congress for its consideration sometime in 2022.