When the overhaul of Medicare Part A reimbursement for nursing homes took effect in October 2019, predictions of audits and the potential for drastic changes came close on its heels. After all, the Patient-Driven Payment Model (PDPM) was meant to be revenue-neutral, meaning that the Centers for Medicare & Medicaid Services (CMS) would not spend […]
Against the backdrop of the COVID-19 pandemic, the federal government has left its new Medicare payment system for nursing homes virtually unchanged since the original rollout in October 2019 — but that doesn’t mean operators and investors should assume the status quo will last forever. The Centers for Medicare & Medicaid Services (CMS) and its […]
The new Medicare payment model for nursing homes provided $200 more per day than the system it replaced in October 2019, according to a new analysis of claims data — setting up a revenue bump at the time the sector needed it most. During the COVID-19 pandemic, the Patient-Driven Payment Model (PDPM) brought an average […]
Skilled nursing facilities received a 9% Medicare reimbursement boost during the early days of the COVID-19 crisis under the new Patient-Driven Patient Model, a new analysis has determined — providing a crucial fiscal lifeline that may not have existed under the structure that PDPM replaced. “RUG-IV would have been a fiscal disaster for SNFs dealing […]
This article is sponsored by CORE Analytics, a provider of market analytics and Patient-Driven Payment Model (PDPM) data solutions for skilled nursing providers. In this Voices interview, Skilled Nursing News sits down with CORE’s Chief Operating Officer Vincent Fedele to learn how PDPM changed the game for skilled nursing, why skilled nursing providers have been […]
Despite steady reports of increasing reimbursements under the new Medicare payment model for nursing homes, at least one industry leader believes that the federal government will be happy with the early returns — and that any changes are fairly far down the road. Skilled nursing operators have not gone overboard with the strategy changes that […]
The latest analysis of the new Medicare payment model for nursing homes again shows more operators scoring gains than suffering losses, but the change from the previous system may not be quite as straightforward — particularly as fee-for-service Medicare continues to lose ground to other payment sources. A little more than 67% of skilled nursing […]
Among the many unknowns of the new Patient-Driven Payment Model (PDPM) is its effect on the types of patients coming into the skilled nursing facility. But one place to watch resident patterns is around the addition of ventilator services and care to facilities — especially if they haven’t offered those options before. Respiratory therapy — along with […]
Data continues to be the watchword in a skilled nursing marketplace where hospitals and other referral partners demand increasingly concrete information about post-acute outcomes. In response, numerous tech companies have stepped into the fray to provide potential solutions — from data analytics tools that can identify serious health issues before they escalate to a hospitalization, […]
At face value, the statistics look grim: Nearly three-quarters of the nation’s skilled nursing facilities will see pay cuts in 2019 under the government’s value-based purchasing (VBP) program after failing to reach mandated readmission benchmarks. But the numbers themselves don’t tell the full story, according to players in the long-term health care space. Based on […]
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