Therapy providers in the nursing home space believe their role in increasing mobility will contribute to upside in the sector – especially within the context of the Patient-Driven Payment Model (PDPM), pandemic recovery and staffing challenges. It’s a draw for prospective residents and their families, both on the short-term and long-term side, as clinical improvements […]
While the spotlight on skilled nursing continues to shine bright, an election year has advocacy groups certain that legislative efforts will be pared down to just a couple key pieces Congress aims to tackle this fall. Policy dedicated to boosting a floundering workforce, expanding telehealth beyond public health emergency (PHE) waivers, and streamlining authorization processes […]
The National Association for the Support of Long Term Care (NASL) kicked off its 33rd annual meeting in Nashville this week by announcing it would be operating under a new name: Advion. Complete with the tagline: “the next generation of NASL,” the new name recognizes the trade association’s position as both an advocate for patients, […]
While so many nursing home trends have been altered by the pandemic, one has interestingly stayed in line with pre-pandemic statistics: Medicare Advantage’s (MA) growth trajectory. MA is still expected to cover 52.9% of all Medicare beneficiaries by 2031, according to Fred Bentley, managing director at ATI Advisory. Bentley spoke about Medicare’s evolution and its […]
The Biden administration, and its federal agencies, appear to be in lockstep in how they have been thinking and talking about nursing homes, industry leaders say, further evidenced by the latest release on the rules of participation for Medicare and Medicaid. Specifically concerning the administration’s efforts to establish a minimum staffing ratio among facilities, the […]
Nursing home residents, staff and company leadership in the physical therapy space are already seeing a bottleneck in access to care, driven by cuts to the Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule (PFS) that went into effect three months ago. One significant cut among Medicare Part B physical and occupational therapy […]
Operators are feeling pressure from all sides as the proposed payment rule for the nursing home industry dropped on Monday, which unveiled a 4.6% cut to the Patient-Driven Payment Model (PDPM) and 3.9% increase to Medicare payments for the sector. The news comes at a time when SNFs are facing a historic workforce shortage, rising […]
The value-based purchasing program (VBP) available to skilled nursing facilities, while garnering the attention of the Biden administration in its sweeping reform initiatives, was already under the microscope with federal agencies. The Centers for Medicare & Medicaid Services (CMS) already has been authorized to apply nine measures to the program in adherence with the Consolidated […]
As the nursing home industry tried to digest a sweeping set of industry reforms proposed by the Biden administration on Monday, a Capitol Hill lawmaker got in on the action by proposing a bill to force private equity firms to disclose their ownership in facilities. Amid all these developments, one thing has become evident: the […]
As the Centers for Medicare and Medicaid Services (CMS) continues to evaluate the “true” budget neutrality of the Patient-Driven Payment Model (PDPM), it’s clear COVID-19 has impacted usage of the new payment model. A report from professional services firm CliftonLarsonAllen (CLA) found the median Medicare revenue per patient day (RPPD) increased 7% in 2020 under […]
After therapy providers endured deep cuts to Medicare reimbursement this year, Congressional lawmakers are taking steps to limit reductions in 2022. A bill introduced on Tuesday would prevent 2% in Medicare sequestration — or at least curb deep cuts associated with the Calendar Year (CY) 2022 Physician Fee Schedule (PFS). The U.S. House of Representatives […]
The Centers for Medicare and Medicaid Services (CMS) on Tuesday finalized its Calendar Year (CY) 2022 Physician Fee Schedule (PFS), confirming a 1% cut to Medicare Part B physical and occupational therapy rates, down from the proposed 2% in July, and a 15% cut for services provided by therapy assistants. CMS specified the 15% cut […]
Reimbursement for Medicare Part B therapy services continues to dry up despite government cash infusions, a concerning trend for rehabilitation providers, operators and the associations that represent them. The Centers for Medicare & Medicaid Services (CMS) has suggested about 2% in cuts to Part B physical and occupational therapy rates as part of its 2022 […]
Therapy providers were partially included in the federal government’s attempts to waive restrictions on various health providers amid the coronavirus, but some experts say this recent round won’t enable sufficient virtual care for nursing home residents — and also doesn’t decrease the risks therapists are experiencing on the ground amid the pandemic. An expanded telehealth […]
Congress has a packed agenda, which means a long-awaited repeal of Medicare’s therapy caps might not happen until 2018. The repeal likely will bring related reductions in skilled nursing facility payments. Comprehensive tax reform legislation—now in conference committee—is a pressing priority for federal lawmakers at the moment, as is the need for a budget deal […]
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