Nursing Home Payment and Finance
We advocate for Medicare and Medicaid payment systems for nursing homes that will appropriately account for essential costs of high quality care. We work with the Centers for Medicare and Medicaid Services (CMS) to obtain the most up-to-date information on payment policies and updates.
Last week, the Medicare Payment Advisory Commission (MedPAC) and the Urban Institute jointly released a report titled, ”The Need to Reform Medicare’s Payment to Skilled Nursing Facilities is as Strong as Ever.” With well-documented shortcomings in the current design of the skilled nursing facility payment system, this report studied the relationship between SNF payments and costs over time to assess whether changes the Centers for Medicare and Medicaid Services (CMS) have made over time have improved accuracy to the payment system.
During its January meeting, members of the Medicare Payment Advisory Commission (MedPAC) voted on a recommendation for site neutral payments between inpatient rehabilitation facilities (IRF) and skilled nursing facilities (SNF), and a recommendation on hospice payments.
On December 18 and 19, the Medicare Payment Advisory Commission (MedPAC) held several sessions assessing payment policies related to home health, to hospice, to skilled nursing facilities, and to site neutral payment for inpatient rehabilitation facilities and skilled nursing facilities. Commissioners made recommendations based on their research on each care setting’s payment structure.
The Centers for Medicare & Medicaid Services recently finalized their physician fee schedule final rule for 2015. The rule includes updates to overall payment of physician services, including therapy services. LeadingAge’s Part B Therapy Rate Calculation Tool has been revised to reflect changes made in the final rule. This tool automatically calculates your facilities Medicare Reimbursement for CY 2015 rates, effective January 1, 2015.
Recently, MedPAC held 3 sessions of interest to the long-term care community. The first was on short hospital stays, the second was on site neutral payments for skilled nursing facilities and inpatient rehabilitation facilities (IRFs), and the third on issues in Medicare Advantage. During the short hospital stay policies session, Chairman Glenn Hackbarth noted that the commission would not have recommendations on short hospital stay policies for their March 2015 report to Congress.