David Gifford, MD, MPH
On April 15, 2015, CMS released its proposed rule for the Fiscal
Year 2016 SNF Prospective Payment System (PPS). CMS is proposing a net
estimated market basket growth rate of 1.4%. The increase is projected to
offer the profession an additional $500 million. For the first time, the
rule also include a new topic to the SNF PPS – quality measures and reporting
provisions – further heightening the importance of quality performance to
business success going forward.
The rule outlines CMS’ proposed approaches to begin
implementation of the SNF Value Based Purchasing Program (VBP). This program will create payment incentives
and penalties for SNFs linked to their rehospitalization rates, as well as the
SNF Quality Reporting Program (QRP), which will establish standardized quality
measures across post-acute care settings, paving the way for future changes in
payment systems.
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