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Skilled Nursing Update: CMS Finalizes Changes to SNF Value-Based Purchasing, SNF Quality Reporting Program and Civil Monetary Penalties

Hall Render

CMS is also adopting the COVID Vaccine: Percent of Patients/Residents Who Are Up to Date (known as the “Patient/Resident COVID-19 Vaccine”) measure beginning with the FY 2026. The Final Rule creates: The Long Stay Hospitalization Measure per 100 residents beginning with the FY 2027 program year and FY 2025 performance year.

Nurses 40
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Senate Committee’s PREVENT Pandemics Act Draft Released: What to Know

Healthcare Law Today

Establishes a COVID-19 Task Force to examine the origins of COVID-19 and to examine the country’s response at the Federal, state and local levels. The pilot program, which will wind down at the end of 2027, first requires the FDA to issue guidance on implementation and to provide regular reporting on projects.

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Capitation Rates Announcement for CY 2025

Innovaare Compliance

Regulatory changes in risk adjustment – updated risk adjustment model blends 67% of the risk score calculated using the updated 2024 MA risk adjustment model and coding normalization using fee-for-service coding trends from periods impacted by the COVID-19 pandemic – also add to the concerns.

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Skilled Nursing Update: CMS Proposes Changes to SNF Value-Based Purchasing, SNF Quality Reporting Program and Civil Monetary Penalties

Hall Render

CMS is also proposing the adoption of the COVID Vaccine: Percent of Patients/Residents Who Are Up to Date (known as the “Patient/Resident COVID-19 Vaccine”) measure beginning with the fiscal year 2026. The Discharge Function Score measure beginning with the fiscal year 2027 program year and fiscal year 2025 performance year.

Nurses 40
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Rate Announcement for CY 2025

Innovaare Compliance

Regulatory changes in risk adjustment – updated risk adjustment model blends 67% of the risk score calculated using the updated 2024 MA risk adjustment model and coding normalization using fee-for-service coding trends from periods impacted by the COVID-19 pandemic – also add to the concerns.