The Centers for Medicare & Medicaid Services’ proposed patient-driven payment model for skilled nursing facilities would increase overall payment accuracy, especially for the medically complex patients treated by hospital-based providers, but needs refinement, AHA told the agency in comments submitted today. “The AHA appreciates the extensive work CMS has done to develop an alternative to the current SNF case-mix system,” AHA wrote. “As noted in the rule, the current system has been widely criticized by policymakers for overly concentrating payments on cases with high-therapy utilization…However, our evaluation of the PDPM found that the model still has several flaws, which must be addressed before the PDPM proposal can be finalized.” In its FY 2019 proposed rule for the SNF prospective payment system, CMS proposes the model as an alternative to the current SNF case-mix system beginning in FY 2020.

Related News Articles

Headline
Applications for the Rural Health Transformation Program are due Nov. 5 to the Centers for Medicare & Medicaid Services. The program will fund $50 billion…
Headline
The federal government shutdown will continue as the Senate Oct. 3 failed to adopt a government funding deal. The latest attempt to pass the House-passed…
Headline
The U.S. District Court for the District of Rhode Island Sept. 30 denied motions from AbbVie and Novartis seeking a preliminary injunction against the state’s…
Headline
The federal government shut down Oct. 1 following a failed Senate vote on the House-passed continuing resolution to fund the government by midnight Sept. 30.…
Headline
The anticipated burdens on hospitals to comply with the Health Resources and Services Administration’s 340B Rebate Pilot Program far exceed the agency’s…
Headline
States have until Sept. 30 to submit an optional letter of intent to the Centers for Medicare & Medicaid Services indicating they plan to apply to the…