For decades, the Medicare program has provided dependable, high-quality health care to our nation’s elderly and disabled populations. Over time, however, these populations and demographics have changed, the population has aged and health care costs continue to rise. To ensure the program remains for generations to come, we must explore policy solutions that sustain and improve the program.

Partnership for Quality Home Healthcare

Partner Spotlights reflect the views of PFM’s partners, not necessarily of PFM.

Kavita Patel, M.D.

Recently the House Energy and Commerce Committee held a hearing on site of service Medicare payment reforms. Experts testified before Congress on the topic and offered a variety of perspectives on the need for viable options for reform. Specifically, the hearing focused on Medicare’s payment systems for post-acute care and the variations in payment that exist depending on whether services are rendered at one site (such as a skilled nursing facility) versus another (such as a rehabilitation facility).


While Medicare has undergone many important changes since the program was first established in 1965, the program has seen a substantial wave of innovation in recent years. Efforts by private Medicare Advantage (MA) plans have served as a catalyst for innovation in the program for many years, and in 2010, with the passage of the Affordable Care Act (ACA), the Center for Medicare and Medicaid Innovation (CMMI) was established to test new payment and delivery models within traditional Medicare.