Annual prospective pay rules are good news for skilled nursing facilities, hospices, inpatient psychiatric facilities and inpatient rehab facilities.
As well as increases in rates of payments, the Centers for Medicare and Medicaid Services proposes reductions in a variety of regulatory burdens. A listing of proposed changes can be found at Modern Healthcare
In introducing the proposed changes, HealthPayer Intelligence quotes CMS Administrator Seema Verma:
We envision all elements of CMS’ healthcare delivery system working to reward value over volume and decisively focus on patients receiving quality care from their Medicare benefits. For skilled nursing facilities, we are taking important steps through proposed payment improvements that will reduce administrative burden, and foster innovation to improve care and quality for patients. As people face rising healthcare costs in other clinical settings, we need to leverage advances in technology that help to modernize our programs in a way that benefits patients.
The most significant proposed change to the Skilled Nursing Facilities Prospective Payment System (SNF PPS) is the creation of the Patient-Driven Payment Model (PDPM). The PDPM adjusts Medicare payments to skilled nursing facilities based on the medical results of services provided.
For a thorough description of changes proposed by CMS, read the article in Healthcare Finance News.
Comments on the proposals are due June 26.