The Patient Driven Payment Model (PDPM) was implemented in October 2019 to reimburse skilled nursing facilities (SNFs) based on Medicare patients’ clinical and functional characteristics rather than the volume of services provided. This study aimed to examine the changes in therapy utilization and quality ...
Person-centered care (PCC) in nursing homes is an elusive organizational goal that has attracted the attention of pay-for-performance (P4P) programs. P4P programs are used to incentivize providers to improve the quality of care delivered. However, P4P programs have both overarching policy initiatives (big ...
The Patient-Driven Payment Model (PDPM), a new reimbursement policy for Skilled Nursing Facilities (SNFs), was implemented in October 2019. PDPM disincentivizes provision of intensive physical and occupational therapy, however, there is concern that declines in therapy staffing may negatively impact patien...
This week, Congress will hold hearings on the Medicare Physician Fee Schedule. This is an ideal opportunity to urge them to support the bipartisan Provider Reimbursement Stability Act (H.R. 8163), introduced by Reps. Greg Murphy, MD (R-NC) and Tom Suozzi (D-NY). The bill would modernize Medicare clinician ...
AMDA has joined the American Medical Association and more than 50 national and state medical associations in urging Congress to quickly pass legislation to reverse the 3.37% Medicare physician payment cuts that took effect January 1, 2024.
To compare the effects of a diabetes pay-for-performance (P4P) program on diabetes-related/nondiabetes-related healthcare utilization/expenses between participants who adhered to the program and those who did not, and explore factors related to program adherence.
Medicare-funded home health (HH) provides short-term nursing, physical therapy, and other services to over 3.5 million older adults each year. Currently, half of HH episodes are “community-entry,” meaning the patient was referred without an immediately preceding hospitalization. The 2020 implementation of ...