Melissa Westling, PSPO, PSM on LinkedIn: MDS Changes: Why Section GG Does Not Equal Section G - Net Health (2024)

Explore how the transition from Section G to GG is transforming care evaluation and funding in skilled nursing facilities with our insightful blog. #NetHealth #MDSChanges #SNF

1

🌟 Transforming Value-Based Care Together 🌟Did you know nearly 70% of Accountable Care Organizations (ACOs) are navigating the healthcare landscape without the participation of Skilled Nursing Facilities (SNFs) in co-managing patients? This is a pivotal gap that cannot be overlooked, especially when aiming to enhance patient outcomes and optimize value-based care.I'm inspired by the insights shared in a recent article from Skilled Nursing News, which sheds light on the very challenges we are dedicated to solving. It's a must-read for anyone committed to advancing value-based care models and underscores the critical need for a modern approach to enhanced collaboration across healthcare.Let's open a dialogue if your organization is among the 70% of ACOs seeking to elevate your patients inside post-acute levels of care. Together, we can redefine healthcare standards, ensuring every patient journey is as seamless and supported as possible. #valuebasedcare #acos #skillednursing #skillednursingfacility #olio

16

1 Comment

CMS aims to further advance its overall value-based care strategy with the finalized 20224 Medicare Physician Fee Schedule (PFS) – adding ways for medically complex, high-cost beneficiaries like those in nursing homes to participate in MSSPs. https://bit.ly/3SMlgvp

8

I’m glad that CMS has already received over 7,000 comments regarding the #StaffingMandates that were issued recently. This is a very important matter and it’s imperative all voices are heard.While we can all agree that the ultimate goal is to improve care outcomes and patient safety, we must be sure we are doing so in an obtainable way. There are not enough employees for hire in the #SeniorCare space, as we’ve witnessed facilities struggle with staffing challenges for years.As a result of the mandates as they stand, some facilities may be forced to close to avoid penalties if staffing requirements cannot be met. This could disproportionately impact vulnerable populations in rural communities where resources are more scarce.I encourage all providers and stakeholders in #healthcare to voice their opinions before the Nov. 6th deadline. Together, we can work to create positive, sustainable change in the way we deliver care.#HealthEquity

15

As managed care plans become more and more relevant to the nursing home industry, it appears MA beneficiaries are experiencing less favorable outcomes, while using less post-acute care services than those on traditional fee-for-service Medicare. https://bit.ly/3QNwlv6

92

18 Comments

Check out this article from McKnight's on the 2024 Maintain your EDGE SNF Benchmarking report that our team prepared. The report contains information from more than 12,000 skilled nursing facilities on critical operational and financial health indicators. Link is included in the comments for access to download the full report.

2

1 Comment

The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule to update the Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS). The proposed rule also includes proposals for the SNF Quality Reporting Program (QRP) and the SNF Value-Based Purchasing program for fiscal year 2024 and forward. Read the latest Trending in Healthcare article today. #AskMarcum #marcumeverywhere #healthcare https://hubs.ly/Q01Qjvw80

3

On October 1, 2019, the skilled nursing industry experienced the change in Medicare Part A payment methodology from the Resource Utilization Groups (RUGs) based payment to a patient driven payment model, or PDPM. The PDPM included implementation of Section GG of the Minimum Data Set (MDS).#clapromise #snf #mds

Success Stories, Medicare Advantage Trends Drive I-SNP Growth in Nursing Home Sector

3

Happy Case Managers week everyone! What does your hospital care about most? Patients followed by Financials?Case Managers play a crucial role in outcomes for both. Check out this article from HFMA.#Healthcare #CaseManagement #RevenueCycle #Nurse

8