Skip to main content

Need a quick, big-picture take on how Medicare payment works in various settings? The Medicare Payment Advisory Commission (MedPAC) offers an updated resource that can help.

Now available for free download: MedPAC's latest version of "Payment Basics," a series of informational sheets that describe the need-to-know elements of 20 different Medicare payment systems. Areas covered include outpatient therapy, skilled nursing facilities, home health services, hospital acute inpatient services, and more. The newest version of the resource updates the 2018 edition.

Most information sheets provide background on how the system is organized and flowcharts for a visual representation of how that particular payment system works.

Quick facts from MedPAC Payment Basics: According to the MedPAC report on outpatient therapy, in 2017 Medicare spent $8 billion on outpatient therapy services, a 6% increase from 2015. Physical therapist services accounted for 72% of all spending in this area. In terms of settings, nursing facilities and physical therapy private practice clinics accounted for 71% of the spending, at 37% and 33%, respectively. Hospitals were next, at 16%.


You Might Also Like...

Article

Proposed FY ’26 SNF and IRF Rules: Payment Increases, Roll Back of SDOH Items

Apr 23, 2025

Skilled nursing facilities could see a 2.8% payment increase and inpatient rehabilitation facilities could see a 2.6% boost beginning in October 2025 if

News

A Tribute to Worthingham Fellow Christine McDonough, PT, PhD, FAPTA

Apr 22, 2025

It is with profound sadness that we share the passing of our colleague and friend, Christine McDonough, PT, PhD, FAPTA, on Dec. 18, 2024. Christine was

News

APTA Releases 2024 Annual Report

Apr 15, 2025

Now available: the 2024 APTA Annual Report, a snapshot of some of the association's biggest accomplishments in 2024, from two major wins in Medicare payment