Sec. 229. MedPAC studies and reports
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The Medicare Payment Advisory Commission (in this section referred to as the Commission ) shall conduct a study on the establishment of a reimbursement system for hospice care furnished under the Medicare program that is based on diagnoses. In conducting such study, the Commission shall use data collected under new provider data requirements. Such study shall include an analysis of the following: Whether such a reimbursement system better meets patient needs and better corresponds with provider resource expenditures than the current system.
Whether such a reimbursement system improves quality, including facilitating standardization of care toward best practices and diagnoses-specific clinical pathways in hospice. Whether such a reimbursement system could address concerns about the blanket 6-month terminal prognosis requirement in hospice. Whether such a reimbursement system is more cost effective than the current system. Any other areas determined appropriate by the Commission. Not later than June 15, 2018, the Commission shall submit to Congress a report on the study conducted under subsection
(a)together with recommendations for such legislation and administrative action as the Commission determines appropriate. The Commission shall conduct a study on rural Medicare hospice transportation mileage to determine potential Medicare reimbursement changes to account for potential higher costs. Not later than June 15, 2018, the Commission shall submit to Congress a report on the study conducted under subsection
(a)together with recommendations for such legislation and administrative action as the Commission determines appropriate. The Commission shall conduct a study to determine potential Medicare reimbursement changes to remove Medicare reimbursement disincentives for patients in a skilled nursing facility who want to elect hospice. Not later than June 15, 2018, the Commission shall submit to Congress a report on the study conducted under subsection
(a)together with recommendations for such legislation and administrative action as the Commission determines appropriate.