Beginning October 1, the new Value-Based Purchasing (VBP) model begins and Skilled Nursing Facilities (SNFs) will automatically lose two-percent of Medicare funding.
SNFs have the opportunity to receive incentive payments from the Centers of Medicare & Medicaid Services (CMS) based on the quality of their care rather than the quantity of services provided.
In an overview of the VBP program, CMS adopted certain scoring methodologies measuring SNF performance, including levels of achievement and improvement:
- Achievement scoring compares a SNF’s performance rate in a performance period against all SNFs’ performance during the baseline period. For FY 2019 of the SNF VBP Program, achievement scoring will compare SNFs’ 2017 performance to the performance of all facilities during Calendar Year (CY) 2015.
- Improvement scoring compares a SNF’s performance during the performance period against its own prior performance during the baseline period. Improvement scoring methodology will compare a SNF’s 2017 performance to its own performance during CY 2015.
Refer to the FY 2017 SNF PPS final rulefor more information on scoring. A key metric in the new model is readmission rates, and many SNFs according to Skilled Nursing News are taking the necessary steps to ensure lower readmission rates and “set themselves apart” come October. At the Post Acute 360 conference in Maryland last week, president and CEO of consulting firm Care Management Innovations Kathleen Griffin mentioned three crucial areas SNFs should be focusing on in the next few months:
- Medical coverage
- Proper nursing staff training
- Working with families to properly guide them
Visit Skilled Nursing News for more information on the implications of this program and Griffin’s key points.
For CMS’s overview of the model, click here.