In late June, the U.S. Department of Health and Human Services Office of Inspector General released a report stating that approximately 42% of Medicare beneficiaries in nursing homes were diagnosed with COVID-19 or likely COVID-19 in 2020. This is a devastating number and is likely low because it does not include Medicaid beneficiaries or other non-Medicare patients. …
Two weeks ago, I came to you with a blog focused on quality. Specifically, “Proposed rule and quality: What your rehab team should know.” Following this piece, I received the comment below from a reader I know simply as Billy. Most therapists want to provide good quality of care. However, some providers have reduced therapy…
The Centers for Medicare & Medicaid Services must consider the COVID-19 pandemic’s broad impact on the skilled nursing patient population and the resulting effect it had on Medicare payments for SNF care before toying with PDPM rates, asserts a new Avalere Health analysis.
Have you been curious as to the national data trends related to the Patient Driven Payment Model? In a time when we are all considering changes to the future of reimbursement and the impact of potential parity adjustments, knowing your data and national trends is essential. What is parity adjustment, you ask? Recall that PDPM…
Providers need more time before the Centers for Medicare & Medicaid Services would implement any adjustments to PDPM payment rates, operators and associations have told the agency in official comments.
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 reduce overcrowding in facilities.
The implementation of the Patient Driven Payment Model resulted in a huge drop-off in therapy staffing at nursing homes, a new study confirms. The findings have researchers concerned that the declines will have negative impacts on the workforce and quality of services that residents receive in the future.
If you work with managed care (and who doesn’t anymore), chances are pretty good you’re already on a collision course that’s been accelerated lately
A recalibration of the Patient Driven Payment Model’s parity adjustment has several long-term care operators worried about potential steep cuts to skilled nursing reimbursements. But executives with The Ensign Group believe such a move could be beneficial to the company on the acquisition front.
Could it be that federal regulators and the caregivers they oversee are becoming more civil to one another?
