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We help you keep track of evolving payment policies for SNFs.

CMS dramatically changed the payment system for skilled nursing facilities by adopting the Patient-Driven Payment Model, a system based on a resident's classification among five components (including physical therapy) that are case-mix adjusted, and employing a per diem system that adjusts payment rates over the course of the stay.

See more information on physical therapy in skilled nursing facilities.

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Patient Driven Payment Model

Jun 6, 2020

The PDPM is a shift away from volume-driven SNF payment to a model that focuses on the unique characteristics, needs, and goals of each patient.

Additional Medicare Payment for Skilled Nursing Facilities Content

Proposed FY '24 SNF and IRF Rules: Payment Increases and Few Surprises

Apr 12, 2023 / Review

Each facility type could see a 3.7% payment increase, with CMS holding off on implementing several potentially problematic ideas.

Proposed FY 2023 SNF Rule: CMS Makes Good on Threat to Enact Cuts

Apr 14, 2022 / Review

CMS says it's because the PDPM payment system isn't working out as planned. Some of the pain will be softened by cost-index adjustments.

Proposed FY '22 SNF Rule: A PDPM Surprise; CMS Acknowledges Lower Therapy Rates

Apr 13, 2021 / Review

CMS says the PDPM is 5% more costly than the previous payment system, and warns SNFs to not let finances "override" clinical judgment.

Final CMS Rule for SNFs: a 2.2% Increase and Ongoing Monitoring of PDPM

Aug 3, 2020 / Review

CMS will continue to collect information from APTA and others on how SNFs are reacting to the payment system.

Proposed CMS Rule for SNFs: a 2.3% Increase and Continued Monitoring of SNF...

Apr 13, 2020 / Review

PDPM continues, as does CMS monitoring of implementation, but the agency isn't ready to share data.

Busting Medicare Part B Myths (and Regulating Your Expectations) Part 3

Feb 25, 2020 / Perspective

In an effort to get everyone on the same page, I'm debunking some of the most prevalent Medicare myths I've been seeing lately on social media and in other venues.

Final SNF Rule Sets New Payment System Into Motion October 1

Jul 31, 2019 / News

CMS' SNF final payment rule proceeds with implementation of the Patient-Driven Payment Model (PDPM).

Changes in the Offing for Skilled Nursing Facilities

Sep 1, 2018 / Column

Here's the scoop on the new Patient-Driven Payment Model.

Observations With Implications

Jul 1, 2015 / Column

PTs have a role to play in battling a disturbing trend.