Post Acute Care Payment Reform Demonstration: Project Implementation and Analysis

As a component of the Deficit Reduction Act of 2005 (S1932.Title V.Sec 5008), Congress authorized the Post Acute Care Payment Reform Demonstration (PAC-PRD). PAC-PRD will examine data from beneficiaries treated in acute care hospitals and four types of PAC providers: Long Term Care Hospitals, Inpatient Rehabilitation Facilities, Skilled Nursing Facilities, and Home Health Agencies. Work on the PAC-PRD is divided into three contracts. This task order comprises the third contract, to provide implementation and analysis of the demonstration. This task is broken into two phases. Phase I includes tasks relating to the development of the demonstration, including creating analysis plans, determining how cost and resource use data are collected, recruitment of facilities, and a limited roll-out of the demonstration in one referral network. Phase II includes data collection using the newly-developed instruments, analysis of the data, and report writing. Analysis topics include payment reform recommendations, predicting resource utilization, predicting discharge placement, and predicting outcomes.