The AGPT is looking for motivated members that can help us achieve our mission to promote physical therapist best practice and to advocate for optimal aging. Our volunteers are the heart of our Association!
We currently have 3 volunteer openings. Please contact firstname.lastname@example.org if you would like more info on any of them.
Today, the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) announced the launch of a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced). Under traditional fee-for-service payment, Medicare pays providers for each individual service they perform. Under this bundled payment model, participants can earn additional payment if all expenditures for a beneficiary’s episode of care are under a spending target that factors in quality.
Bundled payments create incentives for providers and practitioners to work together to coordinate care and engage in continuous improvement to keep spending under a target amount. BPCI Advanced Participants may receive payments for performance on 32 different clinical episodes, such as major joint replacement of the lower extremity (inpatient) and percutaneous coronary intervention (inpatient or outpatient). An episode model such as BPCI Advanced supports healthcare providers who invest in practice innovation and care redesign to improve quality and reduce expenditures.
Of note, BPCI Advanced will qualify as an Advanced Alternative Payment Model (Advanced APM) under the Quality Payment Program. “CMS is proud to announce this Administration’s first Advanced APM,” said CMS Administrator Seema Verma. “BPCI Advanced builds on the earlier success of bundled payment models and is an important step in the move away from fee-for-service and towards paying for value. Under this model, providers will have an incentive to deliver efficient, high-quality care.”
In BPCI Advanced, participants will be expected to redesign care delivery to keep Medicare expenditures within a defined budget while maintaining or improving performance on specific quality measures. Participant bear financial risk, have payments under the model tied to quality performance, and are required to use Certified Electronic Health Record Technology. By meeting these requirements, the model qualifies as an Advanced APM. The 32 types of clinical episodes in BPCI Advanced add outpatient episodes to the inpatient episodes that were offered in the Innovation Center’s previous bundled payment model (the Bundled Payments for Care Improvement initiative), including percutaneous coronary intervention, cardiac defibrillator, and back and neck except spinal fusion.
The Model Performance Period for BPCI Advanced starts on October 1, 2018 and runs through December 31, 2023. Like all models tested by CMS, there will be a formal, independent evaluation to assess the quality of care and changes in spending under the model.
For more information about the model and its requirements, or to download a Request for Applications document (RFA), the application template, and the necessary attachments, please visit: https://innovation.cms.gov/initiatives/bpci-advanced. Applications must be submitted via the Application Portal, which will close on 11:59 pm EST on March 12, 2018. Applications submitted via email will not be accepted.
The CMS Innovation Center will hold a Q&A Open Forum on Tuesday, January 30, 2018 from 12 pm – 1 pm EDT. This event is open to those who are interested in learning more about the model and how to apply. Please register in advance here - https://preaward.adobeconnect.com/e3cdwg6hgx9f/event/registration.html
Ellen R. Strunk, PT, MS, GCS, CEEAA, CHC
AGPT Federal Affairs Liaison
In a development that leaves patients and providers in the lurch, Congress has recessed without addressing the Medicare therapy cap in any meaningful way. The inaction is particularly disappointing for APTA and other stakeholders given that a bipartisan agreement had been reached to permanently end the hard cap.
The bottom line: beginning on January 1, 2018, the $2,010 hard cap on physical therapy and speech-language pathology services combined will be instituted, and the exceptions process that currently permits medically necessary services above the cap through use of the KX modifier will no longer apply.
In late October, Congress seemed poised to enact a permanent repeal of the hard cap and included that change in a package of Medicare "extenders." Had those extenders been approved, it would have ended Congress' continual tradition of late-year scrambling to come up with a short-term exceptions process. Instead, Congress recessed without approving the extenders or enacting a temporary exceptions process.
Over the past several months, thousands of APTA members called and tweeted their members of Congress, and generated over 20,790 emails to Capitol Hill urging Congress to pass the permanent fix for the therapy cap
"Congress’ inaction creates the worst-case scenario for patients and providers," said APTA President Sharon Dunn, PT, PhD. "Medicare patients will start the new year unsure if they will receive medically necessary care. This inaction by Congress means arbitrary barriers, stress for patients and their families, and disruptions for providers."
The therapy cap is just 1 of several issues left unresolved by Congress. A number of other critical Medicare extender policies that needed action, but also will now expire on December 31, include everything from special payments for ground ambulances, to reauthorization of special needs plans, to an extension of the State Health Insurance Health Programs.
There is a chance the cap could be short-lived. Congress returns from its recess on January 19, and APTA’s congressional advocates and other patient and provider groups that are part of the Repeal the Therapy Cap Coalition will work to get the bipartisan agreement included in the next "must-do" bill to be taken up.
"Congress is well aware of the negative ramifications of the therapy cap, which is why there is bipartisan support to repeal it," said Justin Elliott, APTA's vice president of government affairs. "It is imperative that Congress take action as soon as possible in January, and we will keep up the fight."
APTA also will provide additional information and resources to help practitioners prepare for the application of the hard cap on January 1.
Start the year of right!! Give your clients, referral sources and colleagues a great gift for the year at 50% off!
Give 12 Months of Health Tips for Aging Adults including info on:
-Reducing Falls Risk
-Locating a Geriatric Specialist
-Dementia and More!
The calendars make great gifts for your patients and clients and we offer discounts for multiple orders.
Order yours today at http://geriatricspt.org/?4qsg3z
Congratulations to the following candidates who will take office at the Member Meeting at CSM 2018 in New Orleans, LA.
President – Greg Hartley
Vice President – Cathy Ciolek
Director – Jackie Osborne
Nominating Committee – Jill Heitzman
We also congratulate the following SIG officers:
HPWSIG Secretary – Jennifer Sidelinker
HPWSIG Nominating Committee – David Morris
RFSIG Vice Chair – Mindy Renfro
RFSIG Secretary – Jackie Osborne
RFSIG Nominating Committee – Emma Phillips and Andrew Harnish
GHAASIG Vice Chair – Rick Black
GHAASIG Secretary – Manjula Ramachandran
GHAASIG Nominating Committee – Soshi Samejima and Joseph Siu
A big Thank You to all the candidates who participated in this year's election and to the members who voted!
Home Health Section Members Adopt Statement on the Value of Home Health Physical Therapy
At the end of September of 2017, Home Health Section members adopted a statement on the value of home health physical therapy. The value statement was in response to a charge by the American Physical Therapy Association (APTA) House of Delegates (HoD) several years ago that each physical therapy practice setting establish a position statement intended to educate clinicians and the public about the value of each setting to achieving outcomes.
The Statement provides evidence-based guidance to clarify and identify the role, benefits and appropriate utilization of Home Health Physical Therapy (HHPT) services as an essential part in the continuum of care for qualified beneficiaries in the home health setting.
It addresses patient care outcomes and compares post-acute care costs needed to attain these outcomes. Lastly, the statement discusses the patient’s perception of care delivery in the HH setting.
The position statement ensures physical therapists and physical therapist assistants know the value of providing physical therapy in the HH setting. External stakeholders, including the general public, other health care professionals, professional organizations, policy makers, beneficiaries and payer sources also benefit from the statement with information about who we are and what we do.
The document can be found at http://www.homehealthsection.org/resource/resmgr/practice/HHPT_Value_Statement.pdf
Physical Therapists with the CEEAA designation demonstrate expert clinical decision-making skills in designing and applying an effective examination and exercise prescription and measuring the effectiveness and reflecting the current evidence of exercise for all aging adults. The process to attain the credential of "Certified Exercise Expert for Aging Adults" is to complete formal didactic education, and to participate in supervised and mentored skills development, home-based reflection, and critical thinking.
Three courses of two days each will address evidence-based examination and different and increasingly complex aspects of exercise design and delivery. The three courses are designed to build on each other; however, Courses 1 and 2 can be taken out of sequence but Course 3 must be taken last. After each course there is an online exam to be completed within 3 months of the course. Participants get two tries to achieve a 75% passing score. There is one practical test that is done onsite either course 2 or 3. While all attendees will receive continuing education credit, the tests/practical exam must be completed successfully to achieve the CEEAA designation.
MCPHS University - Worcester Campus
10 Lincoln Square
Worcester, MA 01608
March 17-18, 2018
April 28-29, 2018
July 14-15, 2018
University of Indianapolis
1400 East Hanna Avenue
Indianapolis, IN 46227
June 2-3, 2018
July 28-29, 2018
September 15-16, 2018
West Coast University
590 N Vermont Avenue
Los Angeles, CA 90004
August 18-19, 2018
September 29-30, 2018
The CEEAA series has historically sold out the last several years so register early to assure your spot.
For registration and more information, please visit http://www.geriatricspt.org/events/courses/CEEAA/