For example, while skilled nursing facilities saw a margin of between 22% to 24% and received $31,3 billion, they treated 1.7 million beneficiaries. Home health agencies, on the other hand, received a margin of 14.8% and $18.4 billion, but had 3.4 million beneficiaries.
In a letter to stakeholders June 19, Sen. Max Baucus, (D-MT), and Sen. Orrin Hatch, (R-UT) chairman and ranking member of the Senate Finance Committee, and Rep. Dave Camp, (R-MI), and Rep. Sander M. Levin, (D-MI), chairman and ranking member House Ways and Means Committee, asked for guidance with a series of 48 questions.
There is clearly a need for reform, they wrote, which may require further development of quality measures and refinement of assessment tools.
"What we need is alignment," says Blair Childs, senior vice president for public affairs for the Premier healthcare alliance, a group purchasing and quality improvement organization with 2,900 hospital members, which submitted a lengthy response to the Congressional request.
"The problem is that you have a system where only one set of providers is at risk, and it means the others aren't accountable. [Patient care] is a shared accountability, coordination of care issue. And you really need to have the other players involved in it.