Value-based purchasing programs for skilled nursing facilities (SNF) will begin in 2019. Beginning in 2018, skilled nursing facilities are required to take part in a quality reporting program. Those that do no do not submit data will be subject to a 2 percent reduction to their annual updates, CMS said.
In the proposed rules announced by CMS, SNFs will get an $800 million, or 2.1%, Medicare payment increase under the proposed rule for FY 2017. The proposed funding add up to a 2.1% increase from this year , compared to a 1.2% Medicare increase last year. This amounts to a $800 million bump.
“Three new claims-based measures, set for FY 2018, include discharge to community, Medicare spending per beneficiary and potentially preventable 30 day post-discharge readmission measure for skilled nursing facilities.”
CMS also introduced four new quality and resource use measures for skilled nursing facilities, in accordance with the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act).
Three new claims-based measures, set for FY 2018, include discharge to community, Medicare spending per beneficiary and potentially preventable 30 day post-discharge readmission measure for skilled nursing facilities. In 2020, an assessment measure will be added to cover drug regimen reviews conducted with a follow-up for any identified issues … a review of all medications to identify potential adverse effects, duplicate drug therapy or noncompliance and needed more testing.
There are more than 16,000 skilled-nursing facilities throughout the country and they admit more than 2 million patients in the traditional Medicare program each year.
Lisa Remington is president of the Remington Health Strategy Group and publisher of the Remington Report magazine and has worked with more than 6,000 organizations in both a consultancy role and educator. Lisa monitors the complex key trends and forces of change to develop a correct strategic approach to de-risk decision-making and create sustainable futures across the healthcare continuum.