The Centers for Medicare & Medicaid Services late today released a final rule updating Medicare fee-for-service payments for skilled nursing facilities for fiscal year 2016. The rule provides an overall 1.2% update ($430 million) compared to FY 2015 payments, which includes a 2.3% market-basket update, a 0.6 percentage point forecast error reduction that accounts for the difference between the FY 2014 market-basket update and the actual market change for that year, and the statutorily mandated 0.5 percentage point productivity cut. The net update for rural hospital-based SNFs is estimated to be 0.6%, while the net update for urban hospital-based SNFs is 1.4%. Further, to meet the requirements of the Improving Medicare Post Acute Care Transformation Act of 2014, CMS establishes a SNF Quality Reporting Program, and finalizes three initial measures assessing skin integrity, patient falls and functional status. Beginning with FY 2018 payment, SNFs must meet all SNF QRP requirements to avoid a 2 percentage point reduction to their annual payment update factor. In addition, as required by the Protecting Access to Medicare Act of 2014, CMS adopts an all-cause readmission measure for use in the SNF value-based purchasing program, which will begin in FY 2019.

Related News Articles

Headline
The Centers for Medicare & Medicaid Services yesterday released a fact sheet for state and local governments seeking Medicare, Medicaid or Children’s…
Headline
Over 1,750 Medicare Part D prescription drug plans and Medicare Advantage plans with prescription drug coverage have applied to offer lower insulin costs…
Headline
The Government Accountability Office today named three new members to the Medicare Payment Advisory Commission through April 2023. They are: Wayne…
Headline
More than half of U.S. adults aged 70 and older have experienced a disruption in their medical care during the first month of social distancing for COVID-19,…
Headline
The AHA and other national hospital organizations today urged the Department of Health and Human Services and Centers for Medicare & Medicaid Services to…
Headline
The Medicare Hospital Insurance Trust Fund will have sufficient funds to pay full benefits until 2026, according to the latest annual report from the…