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July 27, 2018 1 min read
Our senior care and living partner, Jeff Heaphy, weighs in on the new patient-driven payment model. Read more at Lancaster Pollard.

Senior mother and female care taker cheerfully talking on a park bench

The Centers for Medicare & Medicaid Services released its Skilled Nursing Facilities (SNF) Patient-Driven Payment Model report, which focuses on reimbursing SNFs for typical nursing services and complex medical care, as opposed to previous models which tilted reimbursement toward increased therapy delivery.

Senior Care and Living Partner Jeff Heaphy weighs in, noting that "CMS believes that PDPM will better account for resident characteristics and care needs, align prospective payment system (PPS) payments with resource use, and reduce therapy-driven related financial incentives inherent within the current RUG system." He went on to state that "The proposal’s emphasis on reducing administrative burdens should be beneficial to the facility, particularly for the minimum data set (MDS) and clinical teams, and hopefully for the financial billers as well," he stated. "CMS will likely benefit through this process with lower overall rates, on average."