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 Providers See Increased Payment Rate with SNF PPS Rule

Providers will soon see a 2.4 percent market basket increase under a new final rule from the Centers for Medicare & Medicaid Services (CMS). The rule outlines the proposed Fiscal Year (FY) 2020 Medicare prospective payment system rate update and quality reporting requirements for skilled nursing facilities (SNFs).
 
Based on changes contained within the final rule, CMS indicates aggregate payments to SNFs will increase in FY20 by $851 million from payments in FY19.
 
Mark Parkinson, president and chief executive officer at the American Health Care Association (AHCA), made the following statement regarding the SNF PPS FY 2020 final rule.
 “We applaud CMS for issuing this SNF PPS final rule and thank Administrator Verma and the administration,” he said. “The 2.4 percent market basket increase is critical, especially as members are actively preparing for implementation of the new Patient-Driven Payment Model on Oct. 1.”
The market basket increase is a figure statutorily mandated by Congress and go into effect Oct. 1, 2019. Other contents of the rule also go into effect on the same date.
 
Of note, the final rule codifies the proposed definition of group therapy. The final rule issued today allows groups of between two and six patients starting Oct. 1, 2019.
 
Furthermore, the final rule made no material changes to the new payment system, the Patient-Driven Payment Model.
 
“Skilled nursing facilities are coping with devastating closures, particularly in rural areas,” Parkinson said. “This increase doesn’t solve the problem, but it does provide some much-needed help.”
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