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Patient Driven Payment Model (PDPM) Released by CMS

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On Tuesday July 31, 2018 at 4:15 PM CMS released the final rule for PDPM. This represents a sweeping change from the introduction of the Prospective Payment System which was introduced in 1998. Skilled Nursing Providers and therapy companies have been awaiting in order determine how the previously proposed systems due to be implemented in October of 2019 will impact the industry.

In a nut shell this payment model eliminates payment based on services delivered to residents and instead based upon anticipated resources needed to care for the course of a resident stay.

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KEY HIGHLIGHTS

  • Modernization of the SNF PPS Case-mix Classification System.
  • Promotion of Patient Driven Value-based care.
  • SNF Quality Reporting Program.
  • Meaningful Measurement to address care.

Look for future discussions concerning how these changes will impact your company’s operations and what they may mean to the provider community financially.

 
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Matthew Bavolack, Healthcare Services Leader, Advisory

Healthcare Services Leader
Advisory
New Haven, CT
 
 
 
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