Skilled Nursing News March 3, 2020
The new fee-for-service payment model for nursing homes took up most of the oxygen in the industry over the past two years, but the rise of Medicare Advantage in markets across the country could make all of that preparation for naught — sooner than many may think.
The Patient-Driven Payment Model (PDPM) for nursing homes covers just traditional fee-for-service Medicare payments, with Medicare Advantage plans free to mimic the new system, stick to the old Resource Utilization Group (RUG) model, or develop their own ways of reimbursing for skilled nursing services entirely.
“This is very much a payer-by-payer thing — nothing uniform about it,” Anne Tumlinson, founder of consulting firm ATI...
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