IMPACT Act Implementation

NASL 2022 Issue Briefs:


Expand Medicare Beneficiaries’ Access to Digital Health, Including Telehealth & Remote Patient Monitoring  (Feb 2022)


Support the Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act of 2021 (H.R. 5536) (Feb 2022)


Hospital Observation Status Harms Beneficiaries' Access to Medicare's Skilled Nursing Benefit


The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) amends Title XVIII (Medicare) of the Social Security Act to direct the United States Secretary of Health and Human Services (HHS) to: (1) require post-acute care (PAC) providers to report standardized patient assessment data, data on quality measures, and data on resource use and other measures; (2) require the data to be interoperable to allow for its exchange among PAC and other providers to give them access to longitudinal information so as to facilitate coordinated care and improve Medicare beneficiary outcomes; and (3) modify PAC assessment instruments applicable to PAC providers for the submission of standardized patient assessment data on such providers and enable assessment data comparison across all such providers.

The bill directs the Secretary to: (1) provide confidential feedback reports to PAC providers on their performance with respect to required measures; and (2) arrange for public reporting of PAC provider performance on quality, resource use, and other measures.

The bill directs the Medicare Payment Advisory Commission (MEDPAC) to: (1) evaluate and recommend to Congress features of PAC payment systems that establish, or a unified PAC payment system that establishes, payment rates according to characteristics of individuals instead of according to the PAC setting where the Medicare beneficiary involved is treated; and (2) recommend to Congress a technical prototype for a PAC prospective payment system.

The bill directs the Secretary to reduce by 2% the update to the market basket percentage for skilled nursing facilities which do not report assessment and quality data.

The bill directs the Secretary to study: (1) the effect of individuals' socioeconomic status on quality, resource use, and other measures for individuals under the Medicare program; and (2) the impact on such measures of specified risk factors.

Signed into law by President Obama on October 6, 2014.  

CMS IMPACT Act & Interoperability Webinar

NASL General Comments on IMPACT Act 

‚ÄčNASL Webinar:  Countdown to IMPACT(Member login required)
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Tools and Resources for NASL Members

Section GG Resources for NASL Members

NASL/AANAC Webinar:  Countdown to MDS Section GG - Collaboration Between Nursing and Therapy (Member login required)
     Full Replay   Slides only

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