PDPM Strategies For Success

In the first few months of the Patient Driven Payment Model (PDPM), there have proven to be a few rather successful strategies.

Two of the most impactful things that Skilled Nursing Facilities (SNFs) are focusing on are data and clear communication of their high acuity to hospitals.

For more on this please see the article below.

SNFs More Memorable Moments Of 2019

An interesting look back at 2019 and a few of the more interesting moments that were more or less overshadowed by the shift to PDPM.

From an account of the impact ACO’s have had on SNF’s, to a piece on one state’s attempt to remove long-term residents from managed Medicaid, this article touches on some noteworthy stories of the previous year.

Using CMS Data To Reduce Short-Term Stays

This article is a great example of a skilled nursing facility (SNF) using CMS data to react and respond to issues affecting their quality of care.

Showcased, a facility that was able to reduce short-term stays for Medicare by 45% and able to rehabilitate patients more efficiently than surrounding SNFs.

For more on this, please see the article below. 

Over 20 Million Americans To Turn 80 This Decade

Now that 2020 has arrived, an overwhelming number of Americans will be reaching the age where high levels of personal care are needed.

Studies have shown that around the age of 80, individuals become notably frailer and health-related issues skyrocket.

The Forbes article below notes that over 77 million Americans will reach the age of 80 in the next five years. With this in mind, the article suggests that we, as a society, are unprepared to meet the impending demand for care.

High Readmissions Will Cost Hospitals

Too many readmissions within 30 days will cause CMS to penalize over 2,500 hospitals in 2020 according to a Kaiser Health News report.

These penalties are estimated to cost hospitals over $563 million over the year. Kaiser’s report notes that 83% of the 3,129 hospitals evaluated in the Hospital Readmission Reduction Program received a penalty, with the average penalty being a 0.71% decrease in payment for each Medicare patient leaving the hospital over the next year.

For more on this please see the full Kaiser Health News article below.