Long-term care operators are facing change on every front as we move to 2017. Centers for Medicare and Medicaid Services (CMS) will require changes in care delivery as well as how providers are reimbursed for the care. Providers who are aware and understand the changes will be well-positioned to react and be successful in care delivery. Recently finalized regulations point to major changes for long term care providers. New Requirements for Participation for Long Term Care include many new requirements for nursing facility providers, including creating a baseline care plan with 48 hours of admission of a new patient.
Additionally, the reimbursement landscape is changing from fee-for-service to holding providers more accountable for the care by imposing quality metrics. Nursing facility data submission to CMS to calculate the measures for public reporting began in October 2016. Providers will be held accountable for their submission of the data and face payment penalties beginning October 1, 2017 for non-compliance. Quality measures address: 1) functional status/cognitive function, 2) skin integrity, 3) incidence of major falls, 4) spending-per beneficiary, 5) discharge to community, and 6) preventable hospital readmissions.
Moving forward into 2017, the new president will establish a new administration including appointing a new Secretary of Health and Human Services (HHS) and Administrator for CMS. Who will these new appointees be and what policy mandates will they bring to HHS and CMS? What legislation will the Congress consider during the lame duck session in November and what will they take up in the new Congress in January?
- Explain the various quality measures that are required of nursing facilities in 2017
- Summarize many of the new Requirements for Participation for Long Term Care Facilities in 2017 and beyond
- Discuss the major impact 2016 CMS Final Rule has on future rules and regulations, especially on SNFs
- Describe upcoming long-term care legislation that may be considered by the new president's administration and in next year's new Congress
Read an interview between Cynthia and Long-Term Living editor Pamela Tabar here.
*This program is pending approval by the National Association of Long Term Care Administrator Boards. For additional information, contact NAB at 1444 I St., NW, Suite 700, Washington, DC 20005-2210, (202)712-9040, or http://www.nabweb.org*