Looking at the relationship between staff turnover and quality of care, preliminary analysis by CMS has shown that as the average staff turnover decreases, a facility's overall rating on CMS' Nursing Home Five Star Quality Rating System increases, which suggests that lower turnover is associated with higher overall quality.ĬMS will use the stakeholder feedback to inform a proposal of this measure to include in the SNF VBP Program in the future. The agency intends to issue proposed rules on a minimum staffing level requirement for nursing homes within one year.ĬMS is also requesting stakeholder input on a measure that would examine staff turnover levels in nursing homes for possible inclusion in CMS' SNF Value-Based Purchasing Program, which rewards facilities with incentive payments based on the quality of care they provide to people with Medicare. This input will be used in conjunction with a new research study being conducted by CMS to determine the optimal level and type of nursing home staffing needs. In the proposed rule, CMS is soliciting input to help the agency establish minimum staffing requirements. The Biden Administration has set a goal to improve the quality of nursing homes through addressing staffing levels. Through the proposed rule, CMS said it is continuing to transform the payment system to a more patient-centered model by making payments based on the needs of the whole patient, rather than focusing on the volume of certain services. In 2022, Medicare is projected to provide $35 billion to over 15,000 nursing homes, serving more than 1.5 million people. CMS data shows an unintended increase in payments of 5%, or $1.7 billion, for 2020. The Skilled Nursing Facilities Prospective Payment System proposed rule contains a proposed adjustment to payment rates as the result of the transition to the skilled nursing facility payment case-mix classification model, called the Patient Driven Payment Model, which went into effect on October 1, 2019.ĬMS said the transition to the model would not result in an increase or decrease in aggregate SNF spending but since implementation, data analysis has shown an unintended increase in payments. This estimate reflects a $1.4 billion increase from the 3.9% update to the payment rates, which is based on a 2.8% market basket update plus a 1.5% market basket forecast error adjustment and less a 0.4 percentage point productivity adjustment, as well as a negative 4.6%, or $1.7 billion decrease, as a result of the proposed recalibrated parity adjustment.ĬMS said these impact figures do not incorporate the Skilled Nursing Facility Value-Based Purchasing program reductions for certain SNFs that are estimated to be $186 million in 2023. As a result, there will be a decrease of approximately $320 million in Medicare Part A payments to SNFs in 2023, compared to 2022. The Centers for Medicare and Medicaid Services is proposing a decrease in skilled nursing facility payments by 4.6%, or $1.7 billion, in 2023 to achieve budget neutrality. Photo: Catherine Falls Commercial/Getty Images
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |