Check Out New Economic Impact Estimates and Other PDPM Resources

Posted on November 28, 2018 by Jeff Bostic

Did you see our new Patient Driven Payment Model (PDPM) web page that launched last week? It contains resources, including new economic impact estimates and training webinars, which will help care centers prepare for the dramatic change in how Medicare pays for services that takes effect Oct. 1, 2019. 

Our new PDPM page has a number of background materials, including a webinar we hosted earlier this year and a link to a page with numerous resources from the Centers for Medicare & Medicaid Services (CMS). In addition, we have posted a file with the economic impact estimates for all the Minnesota facilities as calculated by CMS using the MDS data from the year ended Sept. 30, 2017. 

The economic impact file includes information on how much Medicare fee-for-service payment was received in that year from the RUG system and how much would have been received under PDPM. The revenue is broken down by the case mix components in each system, so you can compare how payments shift under PDPM. The final column shows the percent change in revenue if PDPM has been in effect that year, and for the 283 Skilled Nursing Facilities in Minnesota 252 had a projected revenue increase.

There will be multiple opportunities to learn how you can prepare for and transition to the new PDPM system. CMS will host a national provider call on this topic on Tuesday, Dec. 11, from 12:30 – 2 p.m.  Register here.

In addition, we are planning four separate sessions on various PDPM topics at the 2019 Institute & Expo in St. Paul in February. Members should plan to attend the Institute and take advantage of these opportunities to learn more in advance of implementation of the new system in October 2019.