Medicaid Supplemental and Quality Incentive Payment Programs for SNFs
Supplemental payments reward SNF performance but require understanding each state's specific rules.
Renata Osei-Bonsu
Section
SNF Reimbursement
7 stories in SNF Reimbursement.
PDPM Component Scoring and Revenue Optimization
Five assessment components drive SNF payment; each fails independently.
Marcus Delacroix
State Medicaid Rate Methodology Differences for SNFs
Five states chose different Medicaid rate methods after RUG-IV's sunset.
Renata Osei-Bonsu
Payer Mix Strategy and Its Effect on SNF Operating Margins
FFS Medicare's outsized margins now subsidize Medicaid losses.
Renata Osei-Bonsu
Minimum Data Set Coding Accuracy and PDPM Audit Risk
Coding errors in SNF assessments now trigger a sequence of escalating CMS audits and OIG referrals.
Renata Osei-Bonsu
CMS Annual SNF Prospective Payment System Rate Update Impact
The 3.2% payment bump masks facility-specific variation in wages, case-mix, and compliance.
Yuki Tanaka-Reyes
SNF Value-Based Purchasing Program Penalty and Bonus Mechanics
Low-performing facilities lose millions to VBP penalties that erase rate increases.
Marcus Delacroix