I haven't taken the time to read the whole document - it's a long one.
MedPAC recommends changes for Medicare payment. For post acute care, MedPAC recommends a prospective payment system. The focus will be on the patient and on patient characteristics versus the treatment setting. MedPAC supports a unified payment for skilled nursing facilities, home health agencies, inpatient rehabilitation facilities, and long-term care hospitals.
The report mentions MIPS and how that needs to be overhauled.
You can view the MedPAC report here. Happy reading!