A long-awaited set of reports on outpatient therapy payment alternatives has been released by the US Centers for Medicare and Medicaid Services (CMS).
According to CMS, its Developing Outpatient Therapy Payment Alternatives (DOTPA) project had 2 main purposes: "to identify, collect, and analyze therapy-related information tied to beneficiary need and the effectiveness of outpatient therapy services, and to explore payment method alternatives to the current financial caps on Medicare outpatient therapy services." Research for the report began in 2011.
The report states that "The research presented here does not aim to provide a completed, finalized model for a new payment system. Instead, selected characteristics that exist for an alternative payment system are discussed within the context of [the diversity of outpatient therapy]."
APTA staff is reviewing the reports and will use the findings to inform its decisions and recommendations around payment policy.
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