Thursday, May 19, 2016

ACOs and 3-Day Stay Waiver for Skilled Nursing

Dana Halvorson

Earlier this week, McKnight’s released an article entitled, Few ACOs interested in 3-day stay waiver for skilled nursing, experts say, by Emily Mongan. The article includes that, “Few accountable care organizations are lining up to waive the three-day stay requirement for skilled nursing facilities, causing some healthcare experts to wonder if the waiver is still relevant.” The article goes on to note that, “The three-day stay waiver, which is set to kick in for Shared Savings Program ACOs in January 2017, allows providers to sidestep the three-day hospital stay requirement if a Medicare beneficiary is discharged to a skilled nursing facility with at least a three-star rating. The waiver will be available only to ACOs participating in Track 3 of the SSP program, where providers can reap rewards if they demonstrate improved quality and reduce spending but face the risk of penalties if they don't.” James Michel, senior director of Medicare reimbursement and policy for AHCA, is also quoted in the article. To learn more about the three-day stay rule and the observation stays issue, please visit the AHCA/NCAL website.

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