1 Survey on the 75% Rules Impact on Rehab Hospitals and Units and the Patients They Serve October 2003 FINDINGS.

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Presentation transcript:

1 Survey on the 75% Rules Impact on Rehab Hospitals and Units and the Patients They Serve October 2003 FINDINGS

2 Total Number of Inpatient Rehabilitation Facilities 1,210 Rehabilitation Hospitals and Units

3 Under Proposed Rule 87% of Inpatient Rehabilitation Facilities Would Lose Certification by 2007 Number of Certified Inpatient Rehabilitation Facilities Before and After Enforcement of Proposed 75% Rule Sources: Today: The Lewin Group analysis of CMS Medpar file, : UDS analysis of CMS September 9 proposed rule with 65% threshold and Beyond: CMS/RAND analysis of CMS May 16 proposed rule on IRF Payment.

4 Under Proposed Rule, Data Show Only Half of Medicare Patients Would Qualify for Rehabilitation Care Number of Inpatient Rehabilitation Medicare Patients Sources: 2002: RAND and Beyond: AHA analysis of UDS, RAND, and CMS information, AMRPA analysis of eRehab Data.

5 Under Proposed Rule Patients Would Lose Access to Needed Care Rehabilitation Facilities Reported Impact on Patient Access Sources: AHA/AMRPA survey of rehab hospitals and units (319 respondents (25% of IRFs), October 2003.

6 The Proposed Rule Would Limit Access to Inpatient Rehabilitation Care for Medicare and Non-Medicare Patients Age Distribution of Patients No Longer Served under Proposed Rule years old 65 years old and older 0-18 years old 1% Sources: AHA/AMRPA survey of rehab hospitals and units (319 respondents (25% of IRFs), October 2003.

7 Patients Would Lose Access to Care for Many Services Percent of Facilities Responding that Patients Would Lose Access By Type of Service Sources: AHA/AMRPA survey of rehab hospitals and units (319 respondents (25% of IRFs), October 2003.

8 Nearly a Quarter of Rehab Facilities Expect to Close If This Rule Takes Effect Facility Responses to Financial Pressures Percent of Facilities by Expected Impact Sources: AHA/AMRPA survey of rehab hospitals and units (319 respondents (25% of IRFs), October 2003.