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AHA Statement to House Ways and Means Subcommittee on Health for Hearing March 11, 2025
Post-acute care is provided to patients who have been discharged from an acute-care hospital but still require services such as close medical supervision, nursing care, therapies and other support.
Issue Brief: Patients and Providers Faced with Increasing Delays in Timely Discharges
Patients requiring additional care after a hospitalization — such as skilled nursing, behavioral health or therapy-at-home — face growing delays in accessing that care. Delays in discharges as patients move through the continuum of care can cause harm to patients’ health outcomes and can impact their quality of life by slowing their recovery.
Workforce Shortages Delay Patient Discharges and Exacerbate Providers’ Severe Financial Challenges
Significant workforce shortages at facilities, such as those in post-acute and behavioral health, is making it more difficult for hospitals to efficiently and appropriately discharge patients. Hospitals have to bear the costs of caring for patients for those excess days without any reimbursement.
Fact Sheet: The Resident Physician Shortage Reduction Act of 2019
The Balanced Budget Act of 1997 imposed caps on the number of residents for which each teaching hospital is eligible to receive Medicare direct graduate medical education (DGME) and indirect medical education (IME) payments. These caps have remained in place and have generally only been adjusted as a result of certain limited and one-time programs.