Less than half of the providers eligible to use the three-day hospital stay waiver through the Bundled Payments for Care Improvement initiative actually utilize it, a new report shows.
For skilled nursing facilities, the Medicare SNF 3-day rule can make it difficult to place the right patients in the right setting at the right time. The 3-day rule requires that a Medicare beneficiary spend three nights in a hospital as an inpatient — observation stays do not count — before becoming eligible for Medicare-covered SNF care. This rule creates a challenge for SNFs as hospital lengths of stay decline for many of the conditions that SNFs treat.
Above-average skilled nursing facilities may become exempted from Medicare's prior hospitalization requirement, per legislation from Rep. Jim Renacci (R-OH).