U.S. nursing homes have widely been credited for gradually building occupancy levels back to more than 72% nationally after hitting record lows during the height of the pandemic. But that number is likely unintentionally inflated by about 3.5% and could be doing providers significant harm as they make a case for more government support, one veteran industry analyst believes.
Managed care plans typically hold all the cards when it comes to rate-setting. But a new way of analyzing billing data could finally give increasingly leveraged providers a better leg to stand on, financial experts say.
The Patient Driven Payment Model has become a bright spot during the COVID-19 pandemic for many providers two years after its implementation but providers shouldn’t expect that shining light to last for long.
Providers basking in what appeared to be a major bright spot of the 2022 SNF PPS final pay rule still have plenty to be worried about, one of the industry’s leading payment experts warned Wednesday.