Advocacy & News

Policy Priorities

AMRPA 2022 Policy Priorities

Protecting patient access to timely inpatient rehabilitation hospital care is AMRPA’s top policy focus in 2022. AMRPA has created the following policy agenda to promote this goal:

  • Ensure that Oversight and Program Integrity Efforts by CMS Result in Fair and Accurate Reviews and Do Not Create Barriers for Patients to Access Medically Necessary Inpatient Rehabilitation Hospitals
  • Urge CMS to scale back the proposed inpatient rehabilitation hospital and unit (IRF) Review Choice Demonstration and delay implementation until after the field has recovered from the impacts of the COVID-19 Public Health Emergency.
  • Improve CMS audit processes to protect inpatient rehabilitation hospitals from unnecessary administrative burden.
  • Engage with other HHS entities to ensure consistent and accurate medical reviews of IRF claims.
  • Advocate for Meaningful Medicare Advantage (MA) Prior Authorization During and After the COVID-19 Public Health Emergency
    • Pass legislation that reforms Medicare Advantage prior authorization policies and practices to improve patients’ access to medically appropriate post-acute care without arbitrary denials and/or unnecessary delays.
    • Work with CMS to reform administrative oversight and processes of MA plans to ensure appropriate care is made available to beneficiaries.
  • Meaningfully Improve the Care Compare Site & Quality Reporting Program
    • Continue to engage with CMS regarding improvements to the Compare Care site, including the continuous distinction between IRFs and other sites of care.
    • Ensure that measures reported by hospitals in the Quality Reporting Program and posted on the Care Compare site are understandable, accurate and meaningful to consumers
  • Engage with MedPAC to Heighten the Commission’s Awareness of IRF Issues and Improve its Longstanding IRF Recommendations
    • Continue to build on AMRPA’s engagement with MedPAC in 2022 to improve the Commission’s understanding of the value of IRF services and alternatives to across-the-board payment reductions
  • Advocate for Certain COVID-19 Waivers to be Made Permanent & Advancing Association Priorities in Future Pandemic Preparedness Legislation
    • Partner with Congress and CMS to ensure certain flexibilities are extended after the current COVID-19 PHE terminates, including:
      • Broadly reforming existing telehealth laws and regulations in a way that would allow physicians to both utilize telehealth and bill for it in any setting
      • Advocating for appropriate changes to HIPAA and other laws to broaden the types of technology that can be used in furnishing telehealth services
      • Permitting rehabilitation providers to practice across state-lines (in-person and via telehealth)
      • Allowing therapists to provide outpatient therapy services via telehealth
    • Advancing the Association’s priorities in future pandemic preparedness initiatives, such as ensuring inpatient rehabilitation hospitals are meaningfully included in personal protective equipment distribution
  • Work to Modernize the Post-Acute Care Continuum Through Evidence-Based Reforms
    • Develop a post-acute care placement decision tool that reflects continuum-wide consensus on patient and setting-specific characteristics in order to advance timely and accurate admission decisions.
    • Provide input from the field towards any proposals to create a Unified Post-Acute Care Payment System

Feb. 18, 2022