Skilled Nursing News December 10, 2025
Kristin Carroll

The Medicare Payment Advisory Commission (MedPAC) is once again beating the drum for reducing Medicare payment rates for skilled nursing facilities.

Specifically, the commission’s draft recommendation calls for a 4% cut to the Medicare base payment rate to SNFs for fiscal year 2027.

In the commission’s Dec. 5 public meeting, analysts presented on the payment adequacy affecting SNFs. A related presentation discussed trends in fee for service post acute care.

Medicare Payment Advisory Commission Technical Advisor Brian Klein-Qiu and Principal Analyst Carol Carter reviewed data related to beneficiary access, occupancy and utilization. They found the number of SNF rooftops decreased roughly 1% in both 2024 and 2025. Occupancy has recovered to pre-COVID-19 pandemic trends, they reported. Utilization is also back...

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