Data Metrics CMS continues to rely on nursing home’s self-reported and unreliable data for adjustments to the Patient Driven Payment Model (PDPM). PDPM went into effect Oct. 1, 2019. It was the biggest change to the nursing home reimbursement system in 20 years. Colleen Muncy is with data analytics firm StarPro. She told McKnight’s Long-Term
Employment The Biden Administration will provide $500 million to the nursing home industry. The initiative will send strike teams to nursing homes to help with infection control and prevention efforts, and address staffing shortages. The strike team program will be a partnership between providers and inspectors that reduces the spread of infections at facilities. CMS
The Nursing Home Improvement and Accountability Act will improve the quality of care at nursing homes. The legislation will increase safety and maintain the health and well-being of America’s vulnerable adults. The legislation proposes minimum staffing requirements, increases Medicaid funding and bans mandatory pre-dispute arbitration agreements hidden in admission paperwork. HHS would apply the staffing minimums
Medicare is funded by a combination of money. Some paid directly from paychecks and taxes paid by working Americans and their employers. Kaiser Health News had an article on the lack of essential services Medicare actually provides, and the need to expand services. “Traditional” Medicare does not cover many benefits used overwhelmingly by its beneficiaries,
Data on PDPM Skilled Nursing News had a great article explaining how the Patient-Driven Payment Model (PDPM) is a windfall to nursing homes. The PDPM is the reimbursement change to Medicare for skilled nursing facilities. It took effect in October of 2019 so we have one year of data. However, this has not been a
Cutting Therapy The Trump Administration issued new reimbursement rules that cut funding for therapy to nursing home residents. CMS announced the final rules for physician pay, and cutting physical and occupational therapy payments for nursing homes patients by 9%. Last year, therapy providers took an 8% cut. Lobbyists for the nursing home industry have warned
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