The National Association of Subacute and Post Acute Care (NASPAC) continues to revitalize with an expanded focus, and challenge to lead the way in the post acute care. NASPAC continues to respond to the rapidly evolving integrated network of services in healthcare, reflecting the current needs of its members across the continuum. NASPAC works with policy-makers to address the political challenges of ensuring fair and prompt reimbursement for care providers, strives to excel in the educational and informational needs of this field, and encourages industry research and exchange of ideas concerning healthcare.


Our Mission is to collaboratively work with industry providers and professionals, and public and private policy makers, to assure access to quality health care that is adequately reimbursed.

Our Vision is high quality post acute care and services coordinated across the continuum with fair and rational reimbursement that is focused on the needs of the patient, rather than on the site of the service delivery. The application of this approach will foster access, quality outcomes, and the most efficient allocation of resources.

NASPAC’s SNF Agenda

  • Intense cost pressures are impacting this industry, including in these critical areas: severe labor shortages, particularly with licensed nurses and Certified Nursing Assistants; professional liability costs becoming prohibitive; and the many cost and other ramifications of responding to the rapidly changing and punitive regulatory environment.

  • The punitive and adversary regulatory environment is impeding our ability to provide and improve the quality of care. There are a number of specific changes that HCFA could implement immediately, that would have absolutely no impact on quality, and would reduce unnecessary and irrational regulatory burdens. NASPAC requests that the Secretary assign a senior staff member to collect these recommendations and supporting data, so these governmental improvements can be made quickly.

  • The current Medicare SNF Prospective Payment System is fundamentally flawed. As documented by MedPAC, it does not accurately measure SNF costs, it provides the wrong incentives, it threatens access to care, and is an unnecessary administrative burden. We support the conclusions of MedPAC with regard to SNF PPS. We are profoundly concerned that "HCFA" will not seriously consider MedPAC’s recommendations with regard to developing an entirely new system. NASPAC requests the Secretary assign a senior staff member to collect recommendations and data from NASPAC and other industry sources, for the development of a plan to create and implement a prospective system that meets the goals as outlined by MedPAC.


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