CMS con­sid­er­ing two op­tions to up­date SNF pay­ments rates

Modern Healthcare - - Late News -

The CMS is­sued a pro­posed rule that out­lines two op­tions to up­date the pay­ment rates for skilled-nurs­ing fa­cil­i­ties in fis­cal 2012. The first op­tion would pro­vide an in­crease of 1.5 per­cent­age points, or about $530 mil­lion, which the agency cal­cu­lated by ap­ply­ing the 2012 mar­ket­bas­ket in­dex of 2.7 per­cent­age points and re­duc­ing it by 1.2 per­cent­age points “to ac­count for greater op­er­a­tional ef­fi­cien­cies,” as out­lined in the Pa­tient Pro­tec­tion and Affordable Care Act. In the sec­ond op­tion, the CMS would ad­just for what the agency re­ferred to in a news re­lease as “an un­ex­pected spike in nurs­ing home pay­ments dur­ing fis­cal year 2011.” For this, the CMS would re­store over­all pay­ments to their in­tended lev­els on a prospec­tive ba­sis, which would re­quire re­duc­ing pay­ments to skilled­nurs­ing fa­cil­i­ties in 2012 by $3.94 bil­lion, or 11.3% lower than pay­ments in 2011. Other pro­vi­sions of the rule stem­ming from the re­form law in­clude one re­quir­ing Medi­care skilled-nurs­ing fa­cil­i­ties and Med­i­caid nurs­ing fa­cil­i­ties to dis­close cer­tain in­for­ma­tion to HHS and other en­ti­ties about their own­er­ship and or­ga­ni­za­tional struc­ture. The CMS will ac­cept com­ments on the pro­posed rule un­til June 27.

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