McKnight's August 18, 2023
On Aug. 7, 2023, the Centers for Medicare & Medicaid Services published its annual Medicare payment rule for nursing homes. While the news that Medicare Part A payments for nursing home care will increase Oct. 1, 2023 is, of course, positive, it must be put into perspective.
A net gain of $1.4 billion for a sector comprised of over 15,000 nursing homes somewhat pales in comparison to a looming CMS staffing mandate estimated to cost nursing homes $11.3 billion a year.
The coming federal fiscal year will also be the second, and final, year of a “parity adjustment” intended to claw-back inadvertent overpayments under the Patient Driven Payment Model (PDPM) methodology. As was explained in last year’s payment rule, CMS,...
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