Over Regulation

In their many efforts to control costs to the Medicare program and to distinguish the types of care delivered in the various post-acute care venues HHS/CMS has created many rules and policies that have made delivery of care less comparable and more difficult. Rules like the 60% Rule that requires an inpatient rehabilitation facility (IRF) take 60% of its cases from a list of pre-determined conditions while the other post-acute venues are not subject to this rule. Additionally, facilities in all venues of post-acute care are being asked to collect more data without clear guidelines for how the data will be used, summarized, or adjusted.