yourSource | Newsletter 2019 State of the Union with Liz Almeida-Sanborn

An Interdisciplinary Approach to Alphabet Soup
PDPM/QRP/ VBP – an introduction

With the effective date of the Patient Driven Payment Model (PDPM) finalized, and SNF QRP and VBP in place, 2019 is shaping up to be a blockbuster year for the Long-Term Care Industry. By now, many of us are knee deep in preparing for the changes associated with the shift from volume to value. With so much riding on our comprehension of these major fundamental reporting and reimbursement changes, a prepared and well-versed interdisciplinary team is critical to the success of post-acute care providers. Members of the interdisciplinary team, especially clinical leadership, must have an in-depth understanding of how facilities are being (and will be) evaluated and reimbursed and what can be implemented now to safeguard future success. PDPM is the most significant change to SNF reimbursement since, well, the last most significant change to SNF reimbursement; RUGs. The reality is that these changes are intended to be budget neutral across the industry. Practically speaking, that means some facilities will thrive and others may struggle, impacted by reimbursement reductions. READ MORE