Wednesday, November 13, 2013 MedPAC Discusses SGR, Other Issues The most recent meeting of the Medicare Payment Advisory Commission (MedPAC) touched on the need for reform of postacute care (PAC) payment systems, the role of accountable care organizations (ACO), and the advisability of taking a measured approach to advocating for the repeal of the sustainable growth rate (SGR) to avoid stalling current momentum in Congress. APTA staff attended the 2-day meeting, which also included discussions on quality measures for self-care and mobility, and uniform pricing for similar services in PAC settings. The commission addressed both short- and long-term initiatives, and targeted topics for future meetings to address issues such as current approaches to improving primary care, rebalancing payment under the physician fee schedule, reforming payment for graduate medical education, and evaluation of the medical home model. A significant portion of the meeting focused on the SGR and the status of congressional discussions around ending the flawed policy. The commission noted the progress being made, with Chairman Glenn Hackbarth recommending that MedPAC reiterate its previously shared positions and avoid adding recommendations that would slow progress. APTA is engaged in a grassroots effort to end both the SGR and the therapy cap and offers a Legislative Action Center for its members, as well as a Patient Action Center for consumer supporters. Details on the therapy cap and APTA’s grassroots campaign to end it are available at APTA's Advocacy webpage.