title: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs) for FY 2016, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and Staffing Data Collection. Final Rule.
abstract: This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2016. In addition, it specifies a SNF all-cause all-condition hospital readmission measure, as well as adopts that measure for a new SNF Value-Based Purchasing (VBP) Program, and includes a discussion of SNF VBP Program policies we are considering for future rulemaking to promote higher quality and more efficient health care for Medicare beneficiaries. Additionally, this final rule will implement a new quality reporting program for SNFs as specified in the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). It also amends the requirements that a long-term care (LTC) facility must meet to qualify to participate as a skilled nursing facility (SNF) in the Medicare program, or a nursing facility (NF) in the Medicaid program, by establishing requirements that implement the provision in the Affordable Care Act regarding the submission of staffing information based on payroll data.
mesh_terms: D003625:Data Collection; D006801:Humans; D006278:Medicare / Q000191:economics* / Q000331:legislation & jurisprudence; D010561:Personnel Staffing and Scheduling; D011445:Prospective Payment System / Q000191:economics* / Q000331:legislation & jurisprudence; D058996:Quality Improvement / Q000191:economics / Q000331:legislation & jurisprudence; D019984:Quality Indicators, Health Care / Q000191:economics* / Q000331:legislation & jurisprudence; D011907:Rate Setting and Review / Q000331:legislation & jurisprudence; D012866:Skilled Nursing Facilities / Q000191:economics* / Q000331:legislation & jurisprudence; D014481:United States; D062505:Value-Based Purchasing / Q000191:economics* / Q000331:legislation & jurisprudence