As the use of palliative and hospice care increases, the need for services continues to grow. Traditional service portfolios have evolved and alternate payment models have emerged. Here is a review of some of the models.
The Patient-Driven Payment Model (PDPM) was finalized by the Centers for Medicare & Medicaid Services (CMS) in July of last year. By now, long term care providers and skilled nursing facilities are busy preparing for the impending changes coming this fall.
PDPM is a new Medicare payment rule for Skilled Nursing Facilities (SNF), replacing the Resource Utilization Group (RUG) system later this fall. PDPM is an entirely new way of calculating healthcare reimbursement. PDPM assigns residents a case-mix classification that drives their daily reimbursement rate. Using this model, resident classifications and anticipated resource needs are leveraged during the course of a patient’s stay.
When
PDPM will be used under the Skilled Nursing Facility (SNF) Prospective Payment System to classify patients effective October 1, 2019. Affected nurses should spend the next few months training and preparing for PDPM implementation.
Why
PDPM is being implemented to address issues with RUG-IV. Under RUG-IV, therapy payments are based on the amount of therapy provided regardless of a patient’s unique condition. According to the CMS, PDPM will improve payments in several ways:
Still have questions? The CMS has lots of educational resources explaining and pertaining to PDPM. Explore their resources today so you are best prepared this October.
How
PDPM will impact therapists providing service to long term care patients in a variety of ways:
With the upcoming October 1, 2019, implementation date, it’s important to outline a plan:
Over 65,000 long term care providers served more than 8.3 million people in the U.S. in 2016. Concordance Healthcare Solutions is proud of our history supporting the needs of long term care providers with quality medical products and solutions. As you prepare for and adjust to PDPM, Concordance can assist by providing high quality product options that result in better patient outcomes. Contact us to learn more.
As the use of palliative and hospice care increases, the need for services continues to grow. Traditional service portfolios have evolved and alternate payment models have emerged. Here is a review of some of the models.
Some of our most popular blog articles from this year focused on information about common pain points, trending topics as well as information about Concordance. Collectively, healthcare providers need insights into how best they can serve patients by being served best as a customer. Concordance focused on these needs and many others in our 2019...
According to the 2015 National Hospice and Palliative Care Organization’s Facts and Figures: Hospice Care in America, 1.6 to 1.7 million patients required hospice care in 2014.