Physical therapist services represent a significant portion of Medicare expenditures in postacute care settings. Postacute care comprises services provided in inpatient rehabilitation facilities, long-term care hospitals, skilled nursing facilities, and home health under Medicare Part A. Postacute care physical therapist services are integral to improving quality of care while reducing costs under new payment initiatives such as bundled payment models, accountable care organizations and patient-centered medical homes.
Congress and the Obama Administration are exploring broad-based reforms to postacute care. Evidenced by the recent passage of the Improving Post-Acute Care Transformation Act of 2014 (IMPACT Act). APTA strongly supports reform initiatives that will ensure access to and comprehensive coverage of physical therapist services that are centrally focused on the postacute care patient's unique needs.
Use the resources on this page to help you understand and prepare for post-acute care reform that is being implemented over the next several years in incremental steps.
The following APTA comments to the federal government explain how postacute care reform will affect the physical therapy community, and they include the association's recommendations for crafting a new payment system.
Changes required by the IMPACT Act must be made within each prospective payment system. The following is information on the latest changes for each payment rule. Review these comments and summaries to understand how this Act formed.
IMPACT Quality Measures
In addition to federal government activities on post-acute care reform, consensus-based organizations such as the National Quality Forum will help develop and implement cross-setting quality measures. Following is information on these organizations’ quality efforts and APTA's comments on their proposed measures. See above for the quality summaries for these measures.