New Skilled Nursing Payment Plan Shows CMS Listened to Providers

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CMS recently announced the Patient-Driven Payment Model (PDPM), which the agency framed as a slimmed-down version of the newly abandoned Resident Classification System, Version I (RCS-I). The new rule represents a rebranding of RCS-I, which was initially introduced last spring with a lengthy stakeholder comment period. While most observers stressed that it’s still early to make sweeping conclusions about the major takeaways from PDPM, early returns seem to show that CMS gave the industry what it wanted.

“It appears as if CMS has listened very carefully to the feedback on the proposed final rule…and they’ve returned back to the industry what appears to be a sound proposal to better capture patients’ clinical characteristics, and pay for appropriate nursing and medical care,” Colleen O’Rourke, Senior Vice President, Network & Clinical Solutions at naviHealth, told SNN.

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