As Home Health Providers Adapt to PDGM, PDPM Proving to Be Unsustainable

Six months into the new payment model for skilled nursing providers, the Patient-Driven Payment Model (PDPM) is proving to be more costly than the Centers for Medicare & Medicare Services (CMS) initially anticipated. PDPM claims patterns could give home health providers a glimpse of what’s in store with the Patient-Driven Groupings Model (PDGM). So far, the early returns for PDPM have been mostly favorable for skilled nursing facilities (SNFs), with revenue gains checking at 5% to 6%, according to reports from Home Health Care News sister site Skilled Nursing News. The possibility that revenue gains may be even higher than early numbers suggest could eventually lead to some form of an adjustment from CMS, as the payment overhaul was intended to be budget neutral.

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Source: https://homehealthcarenews.com/2020/03/as-home-health-providers-adapt-to-pdgm-pdpm-proving-to-be-unsustainable

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