CMS Payment Rules

• By: Maureen Carland
• On: 04/06/2023 14:24:43
• In: Quality/Regulatory

The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule for the skilled nursing facility prospective payment system for fiscal year 2024, which would result in a 3.7% or $1.2 billion increase in aggregate Medicare spending compared to FY 2023.

This includes a proposed 2.7% market basket update, a 3.6 percentage-point increase to counter the agency's market basket error in FY 2022, and a 0.2 percentage-point productivity decrease. There is also a proposed 2.3-percentage point cut to offset an increase in aggregate FY 2020 Medicare payments under the new SNF PPS.

Additionally, CMS proposes to adopt three new measures and modify an existing measure on COVID-19 vaccination among health care personnel for the SNF Quality Reporting Program, while also removing three quality measures and beginning publicly reporting of two existing measures.

For the SNF Value-based Purchasing Program, CMS proposes to adopt four new quality measures, including one on nursing staff turnover, and replace one measure with a new, similar measure. The agency also proposes the adoption of a Health Equity Adjustment that rewards SNFs that perform well who have resident populations with at least 20% with dual eligibility status, with an increased payback percentage from 60% to 66% so that this adjustment does not come at the expense of other SNFs.

AHCA CEO Mark Parkinson and team will review key details of the proposed rule during a member webinar this Friday, April 7 at 2 PM Eastern. Registration is required. It will be recorded and available for those who are unable to attend. .
Please note this is for members only and requires an AHCA/NCAL log-in to view.  

Staff Contact: mcarland@mehca