Skilled Nursing Facility Characteristics Associated With Financially Motivated Therapy and Relation to Quality

In October 2019, the Centers for Medicare& Medicaid Services (CMS) implemented a new payment model for skilled nursing facilities (SNFs) that eliminated financial incentives to provide high-intensity therapy. Yet high-intensity therapy in SNFs has been linked to better quality outcomes, potentially putting patients at risk if clinically indicated therapy is reduced under the new payment model. A metric to help differentiate between financially motivated vs clinically indicated therapy in SNFs is thresholding: the percentage of patients receiving therapy within 10  minutes of reimbursement thresholds.

Source: Journal of the American Medical Directors Association - June 5, 2020 Category: Health Management Authors: Rachel A. Prusynski, Bianca K. Frogner, Arati D. Dahal, Susan M. Skillman, Tracy M. Mroz Tags: Original Study Source Type: research