SNFs should prepare ‘for the worst’ regarding PDPM cuts, expert says
May 09, 2022
Skilled nursing providers should be prepared for the federal government to move forward with planned reductions in reimbursements rates, even as they await a final decision on the recommendation, according...
‘Remote possibility’ CMS phases in proposed pay cuts for SNFs
Apr 26, 2022
Now is the time for skilled nursing providers to let their voices be heard after the Centers for Medicare & Medicaid Services released its SNF proposed pay rule for fiscal 2023, which calls for $320 million...
PDPM lowered therapy minutes but not outcomes, study shows
James M. Berklan
Jan 12, 2022
Skilled nursing patients received about 13% fewer therapy minutes after the onset of the Patient-Driven Payment Model in October 2019 but that did not hurt outcomes or rehospitalization rates, researchers...
Take advantage of PDPM before it’s too late: experts
Oct 11, 2021
With the future of the Patient Driven Payment Model, at least as it’s currently constructed, up in the air, now is the time for providers to ensure they are accurately capturing resident needs and acuity...
Decline in therapy, higher pay rates could justify recalibration of PDPM
Oct 07, 2021
The Patient Driven Payment Model has become a bright spot during the COVID-19 pandemic for many providers two years after its implementation — but providers shouldn’t expect that shining light to last...
CMS leaning on providers to form new PDPM pay rates
Sep 16, 2021
The Centers for Medicare & Medicaid Services is relying on data metrics regarding trends or changes in provider behavior, payments and beneficiary care quality as it considers potential adjustments to...
CMS: Providers themselves hold the key to regulators’ ultimate PDPM decision
Aug 06, 2021
Provider comments will be vital in determining the fate of potential pay adjustments to the Patient Driven Payment Model, federal health officials said Thursday.
CMS keeping ‘cards close to their chest’ on PDPM pay cuts: expert
Aug 02, 2021
The Centers for Medicare & Medicaid Services’ decision to hold off adjusting Patient Driven Payment Model payment rates could be the agency’s way of “playing their cards close to their chest” as...
Biden Medicare regulations favor hospitals over skilled nursing facilities
Jun 02, 2021
On an annual basis, the Centers for Medicare & Medicaid Services updates various payment systems within the Traditional (fee-for-service) Medicare program. This regulatory season is more entertaining than...
Higher facility assessment fees would fund measures to improve staffing, reduce resident density
May 24, 2021
Illinois lawmakers are looking to increase assessment fees paid by nursing homes in order to fund a proposed law that aims to change the way providers are reimbursed in a push to reduce understaffing and...